- Titel
- Significance of clinical symptoms and red flags in early differential diagnosis of Parkinson’s disease and atypical Parkinsonian syndromes
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:15-qucosa2-1037776
- Quellenangabe
- Journal of Neural Transmission
Erscheinungsjahr: 2023
Jahrgang: 130
Heft: 6
Seiten: 839-846
ISSN: 0300-9564
E-ISSN: 1435-1463 - Erstveröffentlichung
- 2023
- Abstract (EN)
- The clinical presentation of Parkinson’s disease and atypical Parkinsonian syndromes is often heterogeneous. Additional diagnostic procedures including brain imaging and biomarker analyses can help to appreciate the various syndromes, but a precise clinical evaluation and differentiation is always necessary. To better assess the relevance of distinct clinical symptoms that arose within 1 year of disease manifestation and evaluate their indicative potential for an atypical Parkinsonian syndrome, we conducted a modified Delphi panel with seven movement disorder specialists. Five different topics with several clinical symptom items were discussed and consensus criteria were tested. This resulted in distinct symptom patterns for each atypical Parkinsonian syndrome showing the multitude of clinical involvement in each neurodegenerative disease. Strongly discriminating clinical signs were few and levels of indication were variable. A prospective validation of the assessments made is needed. This demonstrates that both clinical evaluation and elaborate additional diagnostic procedures are needed to achieve a high diagnostic standard.
- Andere Ausgabe
- Erstveröffentlichung
DOI: 10.1007/s00702-023-02634-5 - Freie Schlagwörter (EN)
- Atypical Parkinson syndromes, PSP, CBS, DLB, MSA
- Klassifikation (DDC)
- 610
- Verlag
- Springer, Wien
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:15-qucosa2-1037776
- Veröffentlichungsdatum Qucosa
- 13.04.2026
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
CC BY 4.0