Published Online:https://doi.org/10.1089/jpm.2006.9978

Background: Amyotrophic lateral sclerosis, Parkinson's disease, atypical parkinsonian syndromes, and multiple sclerosis are progressive neurologic disorders that cumulatively afflict a large number of people. Effective end-of-life palliative care depends upon an understanding of the clinical aspects of each of these disorders.

Objectives: The authors review the unique and overlapping aspects of each of these disorders with an emphasis upon the clinical management of symptoms.

Design: The authors review current management and the supporting literature.

Conclusions: Clinicians have many effective therapeutic options to choose from when managing the symptoms produced by these disorders.

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