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Parkinson's disease (PD) is a progressive, neurodegenerative disorder of aging that affects both motor and cognitive function. The etiology of PD is mostly unknown, but it likely involves both genetic and environmental factors.Recognizing early symptoms of Parkinson'sNonmotor symptoms:Nonmotor symptoms are common in early Parkinson disease. The...
A Report of the American Academy of Neurology (AAN) Guideline Subcommittee:Levodopa preferred as initial dopaminergic therapy for motor symptoms in patients with early Parkinson disease.Parkinson disease (PD) is a neurodegenerative disorder that causes both motor and nonmotor symptoms and increases in prevalence with age. Motor symptoms in the...
JAMA NeurologyTAKE-HOME MESSAGE Evidence is rapidly accumulating of the benefit of exercise and physical activity in Parkinson disease (PD). The authors conducted a nationwide population-based cohort study of 10,699 individuals with PD, evaluating the association of physical activity (obtained from self-reported structured questionnaires...
Motor symptoms are those that affect movement of the body. These are the cardinal symptoms of PD. The main motor symptoms of PD are tremor, slowness of movement (bradykinesia), stiffness (rigidity), and poor balance (postural instability). These symptoms are usually mild in the early stages of the disease. PD patients show additional mo...
NICE guideline: Suspect Parkinson's disease in people presenting with tremor, stiffness, slowness, balance problems and/or gait disorders. If Parkinson's disease is suspected, refer people quickly and untreated to a specialist with expertise in the differential diagnosis of this condition. Clinical diagnosis Diagnose Parkinso...
Introduction Parkinson’s disease (PD) is a neurodegenerative disease resulting from progressive death of the dopaminergic neurons in the brainstem, particularly the substantia nigra pars compacta (SNc). Besides the hallmark motor symptoms (hypokinesia, rest tremor, rigidity, and postural instability), PD patients have non-motor symptoms...
JAMA Neurology: Early and prodromal features of Parkinson disease (PD) have increasing relevance as the quest for potential disease-modifying therapies is expanding. KEY TAKE-HOME MESSAGE Question What are the prediagnostic manifestations of Parkinson disease (PD) presented in the primary care setting? Findings This case-contr...
Take Home Messages: Authors propose a new conceptual model for PD pathogenesis, in which disease-associated factors are divided into three categories: triggers, facilitators, and aggravators. Triggers are agents or events that begin the disease process; these factors are necessary but insufficient for PD to develop. Facilitators ar...