Hopfensperger K, Koller W C
University of Kansas School of Medicine, Department of Neurology, Kansas City, 66103.
Postgrad Med. 1991 Jul;90(1):49-50, 55-6, 59. doi: 10.1080/00325481.1991.11700978.
Differential diagnosis of Parkinson's disease should cover not only the classic disorder described by James Parkinson in 1817 (paralysis agitans) but also numerous other idiopathic and secondary disorders that have varying degrees of parkinsonian features. Because treatment options can vary greatly among mimicking disorders and differ from those effective for Parkinson's disease, a prompt, accurate diagnosis is essential. Physicians can distinguish between these often-overlapping disorders by differentiating primary from secondary parkinsonism and by classifying primary syndromes into disorders with prominent tremor and those without.
帕金森病的鉴别诊断不仅应涵盖詹姆斯·帕金森于1817年描述的经典病症（震颤麻痹），还应包括许多其他具有不同程度帕金森病特征的特发性和继发性病症。由于模仿病症的治疗选择可能差异很大，且与对帕金森病有效的治疗方法不同，因此迅速、准确的诊断至关重要。医生可以通过区分原发性帕金森综合征和继发性帕金森综合征，并将原发性综合征分为以震颤为主的病症和无震颤的病症，来区分这些常常相互重叠的病症。
