Challenges in the diagnosis of Parkinson’s disease

By Eduardo Tolosa, Alicia Garrido, Sonja W. Scholz, W. Poewe. Lancet Neurology, 2021

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Parkinson’s disease is the second most common neurodegenerative disease, and its prevalence has been projected to double over the next generation. Nonetheless, an accurate diagnosis of Parkinson’s disease remains challenging, and identifying the earliest stages of the disease is a major unmet need. Recent developments include the validation of modified clinical diagnostic criteria, the introduction and testing of research criteria for prodromal Parkinson’s disease, and the identification of genetic subtypes and a growing number of genetic variants associated with Parkinson’s disease risk. There has also been significant progress in the development of diagnostic biomarkers, of which genetic and imaging tests are already part of routine work-up protocols in clinical practice, while novel tissue and fluid markers are under investigation. Parkinson’s disease is evolving from a clinical to a biomarker-supported diagnostic entity, in which an earlier identification is possible, different subtypes with diverse prognosis are recognized and novel disease-modifying treatments are in development.

View Paper: https://www.semanticscholar.org/paper/b93ee98225f7f7a810ad011c355e1743652a9d86

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