Cited by 146Parkinson's Disease Mechanisms and TreatmentsDeep Brain Stimulation and Movement DisordersDementia and Cognitive Impairment Research

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

Clinical Criteria for the Diagnosis of Parkinson’s Disease

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Reichmann, Heinz·2010·Neurodegenerative Diseases

Abstract

The diagnosis of Parkinson’s disease (PD) follows the UK Brain Bank Criteria, which demands bradykinesia and one additional symptom, i.e. rigidity, resting tremor or postural instability. The latter is not a useful sign for the early diagnosis of PD, because it does not appear before Hoehn and Yahr stage 3. Early symptoms of PD which precede the onset of motor symptoms are hyposmia, REM sleep behavioral disorder, constipation, and depression. In addition, an increasing number of patients whose PD is related to a genetic defect are being described. Thus, genetic testing may eventually develop into a tool to identify at-risk patients. The clinical diagnosis of PD can be supported by levodopa or apomorphine tests. Imaging studies such as cranial CT or MRI are helpful to distinguish idiopathic PD from atypical or secondary PD. SPECT and PET methods are valuable to distinguish PD tremor from essential tremor if this is clinically not possible. Using all of these methods, we may soon be able to make a premotor diagnosis of PD, which will raise the question whether early treatment is possible and ethically and clinically advisable.

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  1. 10.1159%2F000137111 · DOI
  2. 10.1016%2FS1474-4422%2809%2970042-0 · DOI · Paper page
  3. 10.1016%2Fj.expneurol.2009.03.002 · DOI
  4. 10.1001%2Fjama.284.15.1931 · DOI

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Metadata

Authors
Reichmann, H.
Affiliations
University Hospital Carl Gustav Carus (DE)
Corresponding author
Reichmann, Heinz
Venue
Neurodegenerative Diseases
Publisher
S. Karger AG
Published
2010
Volume
7
Issue
5
Pages
284-290
ISSN
  • 1660-2854 (ISSN-L)
  • 1660-2862
OpenAlex
W2080778120
Cited by
145
References
60
Citations by year
2026: 9 · 2025: 6 · 2024: 18 · 2023: 7 · 2022: 11 · 2021: 5 · 2020: 8 · 2019: 5 · 2018: 9 · 2017: 11 · 2016: 12 · 2015: 9 · 2014: 7 · 2013: 10 · 2012: 7
FWCI
1.12
Type
journal article
Language
en
Open access
Locations
  • Neurodegenerative Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • Qucosa (Saxon State and University Library Dresden) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
Parkinson's disease, diagnosis, bradykinesia, postural instability, REM sleep behavior disorder, hyposmia, constipation, depression, genetic testing, apomorphine test, SPECT, PET, essential tremor, atypical Parkinson's disease
MeSH terms
Diagnostic Imaging, Humans, Movement, Parkinson Disease, Point-of-Care Systems, Clinical Laboratory Techniques, Early Diagnosis

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