Padovani A, Costanzi C, Gilberti N, Borroni B
Department Medical and Surgical Sciences, Institute of Neurology, University of Brescia, P.zza Spedali Civili 1, I-25125 Brescia, Italy.
Neurol Sci. 2006 Mar;27 Suppl 1:S40-3. doi: 10.1007/s10072-006-0546-6.
Parkinson's disease (PD) is one of the most common neurodegenerative disorders, affecting about 1% of the population over the age of 60. In addition to motor abnormalities, there are several non-motor signs and symptoms that may create a considerable burden for patients and care-givers. Dementia is common and affects approximately 40% of PD patients during the course of the disease, the risk for the development of dementia being 6 times higher than in non-PD age-matched controls. In most cases, PD patients with dementia (PDD) display a dysexecutive syndrome and visuospatial deficits, while memory is relatively unaffected. The overlap between PDD and dementia with Lewy bodies suggests that they likely share similar underlying neuropathological processes.
帕金森病(PD)是最常见的神经退行性疾病之一,影响约1%的60岁以上人群。除了运动异常外,还有几种非运动症状和体征,可能给患者和护理人员带来相当大的负担。痴呆很常见,在疾病过程中约40%的帕金森病患者会受到影响,患痴呆症的风险比年龄匹配的非帕金森病对照组高6倍。在大多数情况下,帕金森病痴呆患者(PDD)表现为执行功能障碍综合征和视觉空间缺陷,而记忆力相对未受影响。帕金森病痴呆与路易体痴呆之间的重叠表明,它们可能有相似的潜在神经病理过程。