The clinical diagnosis of Parkinson's disease
Renato P. Munhoz, Vítor Tumas, José Luiz Pedroso, Laura Silveira‐Moriyama
Abstract
After more than 200 years since its initial description, the clinical diagnosis of Parkinson's disease (PD) remains an often-challenging endeavor, with broad implications that are fundamental for clinical management. Despite major developments in understanding it's pathogenesis, pathological landmarks, non-motor features and potential paraclinical clues, the most accepted diagnostic criteria remain solidly based on a combination of clinical signs. Here, we review this process, discussing its history, clinical criteria, differential diagnoses, ancillary diagnostic testing, and the role of non-motor and pre-motor signs and symptoms.
Topics & Concepts
Medical diagnosisDiseasePathologicalMedicineClinical diagnosisSigns and symptomsMotor symptomsDiagnostic testParkinson's diseaseIntensive care medicineDifferential diagnosisPhysical medicine and rehabilitationPathologyPediatricsSurgeryParkinson's Disease Mechanisms and TreatmentsNeurological disorders and treatmentsNeurological diseases and metabolism