Weiss Howard D, Pontone Gregory M
Sinai Hospital of Baltimore (HDW); Department of Neurology and Neurological Sciences, Johns Hopkins University (HDW); and Department of Psychiatry and Behavioral Sciences, Johns Hopkins University (GMP).
Neurol Clin Pract. 2019 Aug;9(4):354-359. doi: 10.1212/CPJ.0000000000000644.
Physicians treating patients with Parkinson disease must evaluate not only motor symptoms but also acquire expertise in assessing the complex behavioral features that often accompany the disease, such as dementia, apathy, anxiety, and depression.
There is a risk of diagnostic confusion and error because many of the behavioral and motor symptoms accentuate, overlap, or mimic each other.
Awareness of potential diagnostic pitfalls and "pseudo-syndromes" should lead to more accurate clinical assessment and better care for our patients.
治疗帕金森病患者的医生不仅要评估运动症状，还必须掌握评估该疾病常伴随的复杂行为特征的专业知识，如痴呆、冷漠、焦虑和抑郁。
由于许多行为和运动症状会加重、重叠或相互模仿，存在诊断混淆和错误的风险。
意识到潜在的诊断陷阱和“假性综合征”应能带来更准确的临床评估，并为我们的患者提供更好的护理。
