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帕金森病的临床管理:特征、诊断及治疗原则

Clinical Management of Parkinson's Disease: Features, Diagnosis, and Principles of Treatment.

作者信息

Patel Bhavana, Rawls Ashley, Tholanikunnel Tracy, Okun Michael S

机构信息

Department of Neurology, University of Florida College of Medicine, Gainesville, Florida 32611, USA

Norman Fixel Institute for Neurological Diseases, Gainesville, Florida 32608, USA.

出版信息

Cold Spring Harb Perspect Med. 2025 Jun 9. doi: 10.1101/cshperspect.a041638.

Abstract

Parkinson's disease (PD) is a progressive, neurological syndrome that is associated with a plethora of motor and nonmotor symptoms. Recognizing prodromal symptoms and diagnosing PD early and accurately as well as employing timely management strategies targeting motor and nonmotor symptoms across all disease stages will have the potential to improve clinical outcomes. The application of critical advances in the field including the development of biomarkers, pharmacological treatments, exercise, and surgical therapies will be important for clinical practitioners. In this review, we will address differential diagnoses and disease mimics, as well as provide critical updates on clinical diagnosis and management strategies.

摘要

帕金森病(PD)是一种进行性神经综合征,与多种运动和非运动症状相关。识别前驱症状并早期准确诊断帕金森病,以及在疾病的各个阶段采用针对运动和非运动症状的及时管理策略,有可能改善临床结局。该领域的关键进展,包括生物标志物的开发、药物治疗、运动和手术治疗的应用,对临床医生来说将非常重要。在这篇综述中,我们将讨论鉴别诊断和疾病模仿情况,并提供有关临床诊断和管理策略的重要更新。

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