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帕金森病

Parkinson Disease.

作者信息

Zesiewicz Theresa A

出版信息

Continuum (Minneap Minn). 2019 Aug;25(4):896-918. doi: 10.1212/CON.0000000000000764.

Abstract

PURPOSE OF REVIEW

Parkinson disease is a common neurodegenerative disorder that affects millions of people worldwide. Important advances in the treatment, etiology, and the pathogenesis of Parkinson disease have been made in the past 50 years. This article provides a review of the current understanding of Parkinson disease, including the epidemiology, phenomenology, and treatment options of the disease.

RECENT FINDINGS

Parkinson disease is now recognized to be a heterogeneous condition marked by both motor and nonmotor symptoms. It is composed of preclinical, prodromal, and clinical phases. New medications with improved ease of administration have been approved for its treatment. Innovative surgical therapies for Parkinson disease may be used when motor symptoms persist despite optimal medical management.

SUMMARY

Parkinson disease is a complex, heterogeneous neurodegenerative disorder. Considerable progress has been made in its treatment modalities, both pharmacologic and surgical. While its cure remains elusive, exciting new research advances are on the horizon.

摘要

综述目的

帕金森病是一种常见的神经退行性疾病,影响着全球数百万人。在过去50年里,帕金森病的治疗、病因和发病机制取得了重要进展。本文综述了目前对帕金森病的认识,包括该疾病的流行病学、临床表现和治疗选择。

最新发现

帕金森病现在被认为是一种以运动和非运动症状为特征的异质性疾病。它由临床前期、前驱期和临床期组成。已批准使用给药更方便的新型药物进行治疗。当运动症状在最佳药物治疗后仍持续存在时,可采用创新的帕金森病手术治疗方法。

总结

帕金森病是一种复杂的、异质性的神经退行性疾病。在其药物和手术治疗方式方面已经取得了相当大的进展。虽然其治愈方法仍然难以捉摸,但令人兴奋的新研究进展即将出现。

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