Clinical Approach to Parkinson's Disease: Features, Diagnosis, and Principles of Management

被引:276
作者
Massano, Joao [1 ,2 ,3 ]
Bhatia, Kailash P. [1 ]
机构
[1] UCL, Sobell Dept Motor Neurosci & Movement Disorders, Inst Neurol, London, England
[2] Univ Porto, Movement Disorders & Funct Surg Unit, Dept Neurol, Hosp Sao Joao, P-4100 Oporto, Portugal
[3] Univ Porto, Fac Med, P-4100 Oporto, Portugal
关键词
DEEP-BRAIN-STIMULATION; EARLY-ONSET PARKINSONISM; AUTOSOMAL RECESSIVE PARKINSONISM; PROGRESSIVE SUPRANUCLEAR PALSY; MOVEMENT-DISORDER SOCIETY; MULTIPLE SYSTEM ATROPHY; NONMOTOR SYMPTOMS; GLUCOCEREBROSIDASE MUTATIONS; TREMOR/ATAXIA SYNDROME; DOMINANT PARKINSONISM;
D O I
10.1101/cshperspect.a008870
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Parkinson's disease (PD) is one of the most common neurodegenerative disorders. The condition causes a heavy burden both on those affected, as well as their families. Accurate diagnosis is critical and remains founded on clinical grounds as no specific diagnostic test is available so far. The clinical picture of PD is typical in many instances; however, features distinguishing it from other disorders should be thoroughly sought. Monogenic forms of PD also have some distinctive characteristics in many cases. This text is a roadmap to accurate diagnosis in PD, as it approaches clinical features, diagnostic methodology, and leading differential diagnoses. Therapeutic issues are also briefly discussed.
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页数:15
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