Sauerbier Anna, Rosa-Grilo Miguel, Qamar Mubasher A, Chaudhuri K Ray
Parkinson's Centre of Excellence, King's College Hospital Foundation Trust, London, United Kingdom; Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
Parkinson's Centre of Excellence, King's College Hospital Foundation Trust, London, United Kingdom; Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom.
Int Rev Neurobiol. 2017;133:447-478. doi: 10.1016/bs.irn.2017.05.011. Epub 2017 Jul 13.
Nonmotor symptoms are integral to Parkinson's disease. Several subtypes dominated by specific nonmotor symptoms have emerged. In this chapter, the rationale behind nonmotor subtyping and currently proposed nonmotor subgroups within Parkinson's disease based on data-driven cluster analysis and clinical observations will be summarized. Furthermore, the concept of seven clinical nonmotor subtypes will be discussed in detail including the clinical presentation, potential biomarkers, and the clinical relevance. In future, nonmotor subtypes will possibly play a major role within the aim to achieve personalized medicine.
非运动症状是帕金森病的重要组成部分。已出现了几种以特定非运动症状为主导的亚型。在本章中,将总结基于数据驱动的聚类分析和临床观察的帕金森病非运动亚型分类背后的基本原理以及目前提出的非运动亚组。此外,还将详细讨论七种临床非运动亚型的概念,包括临床表现、潜在生物标志物及临床相关性。未来,非运动亚型可能在实现个性化医疗的目标中发挥重要作用。