Palanivel Mathangi, Ghosh Krishna Kanta, Mallam Madhav, Bhuvanakantham Raghavan, Padmanabhan Parasuraman, Lim Kah-Leong, Gulyás Balázs
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore, Singapore.
NPJ Parkinsons Dis. 2025 Jun 18;11(1):174. doi: 10.1038/s41531-025-01004-0.
Parkinson's disease (PD) is a progressive neurological disorder marked by late-emerging motor symptoms, but early non-motor signs like hyposmia and REM sleep behavior disorder may precede diagnosis by years. Identifying non-motor biomarkers during this prodromal phase could predict phenoconversion and enable early interventions. This narrative review outlines key prodromal non-motor symptoms, summarizes imaging technologies for early detection, and explores their translational potential in guiding timely, neuroprotective therapies for at-risk individuals.
帕金森病(PD)是一种进行性神经疾病,其特征为出现较晚的运动症状,但嗅觉减退和快速眼动睡眠行为障碍等早期非运动症状可能在诊断前数年就已出现。在此前驱期识别非运动生物标志物可以预测表型转换并实现早期干预。这篇叙述性综述概述了关键的前驱期非运动症状,总结了早期检测的成像技术,并探讨了它们在指导为高危个体及时提供神经保护治疗方面的转化潜力。