Accuracy of clinical diagnosis of progressive supranuclear palsy
Identifieur interne : 003E29 ( Main/Exploration ); précédent : 003E28; suivant : 003E30Accuracy of clinical diagnosis of progressive supranuclear palsy
Auteurs : Y. Osaki [Royaume-Uni, Japon] ; Y. Ben-Shlomo [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni] ; S. E. Daniel [Royaume-Uni] ; C. Colosimo [Italie] ; G. Wenning [Autriche] ; N. Quinn [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-02.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Brain (pathology), Diagnosis, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Nervous system diseases, Neurologic Examination (statistics & numerical data), Parkinson's disease, Reproducibility of Results, Retrospective Studies, Supranuclear Palsy, Progressive (diagnosis), Supranuclear Palsy, Progressive (pathology), atypical parkinsonism, clinicopathological study, diagnostic criteria, progressive supranuclear palsy.
- MESH :
- diagnosis : Supranuclear Palsy, Progressive.
- pathology : Brain, Supranuclear Palsy, Progressive.
- statistics & numerical data : Neurologic Examination.
- Adult, Aged, Aged, 80 and over, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Reproducibility of Results, Retrospective Studies.
Abstract
We assessed the accuracy of clinical diagnosis of progressive supranuclear palsy (PSP, Steele‐Richardson‐Olszewski disease) and the validity of existing sets of clinical diagnostic criteria for PSP (see Appendix) using neuropathologically examined cases from the Queen Square Brain Bank for Neurological Disorders. Diagnosis of PSP was made by 40 different physicians, and 60 cases clinically diagnosed as PSP when last assessed in life were studied. In 47 cases (78%), the diagnosis of PSP was confirmed pathologically. False‐positive diagnoses included Parkinson's disease with significant additional cortical Lewy body (n = 3) or Alzheimer (n = 1) pathology, multiple system atrophy (n = 4), and corticobasal degeneration, Pick's disease, motor neurone disease, cerebrovascular disease, and a sporadic case of frontotemporal dementia and parkinsonism linked to chromosome 17 (1 case each). Most cases of PSP were diagnosed accurately by neurologists at the final assessment. Although application of National Institute of Neurological Disorders and the Society for PSP possible category marginally improved the accuracy of initial clinical diagnosis, none of the existing operational criteria could significantly improve accuracy of the final clinical diagnosis. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10680
Affiliations:
- Autriche, Italie, Japon, Royaume-Uni
- Angleterre, Grand Londres, Latium
- Londres, Rome
- National Hospital for Neurology and Neurosurgery, Université de Rome « La Sapienza »
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Le document en format XML
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Diagnosis of PSP was made by 40 different physicians, and 60 cases clinically diagnosed as PSP when last assessed in life were studied. In 47 cases (78%), the diagnosis of PSP was confirmed pathologically. False‐positive diagnoses included Parkinson's disease with significant additional cortical Lewy body (n = 3) or Alzheimer (n = 1) pathology, multiple system atrophy (n = 4), and corticobasal degeneration, Pick's disease, motor neurone disease, cerebrovascular disease, and a sporadic case of frontotemporal dementia and parkinsonism linked to chromosome 17 (1 case each). Most cases of PSP were diagnosed accurately by neurologists at the final assessment. Although application of National Institute of Neurological Disorders and the Society for PSP possible category marginally improved the accuracy of initial clinical diagnosis, none of the existing operational criteria could significantly improve accuracy of the final clinical diagnosis. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Italie</li><li>Japon</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Latium</li></region><settlement><li>Londres</li><li>Rome</li></settlement><orgName><li>National Hospital for Neurology and Neurosurgery</li><li>Université de Rome « La Sapienza »</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Osaki, Y" sort="Osaki, Y" uniqKey="Osaki Y" first="Y." last="Osaki">Y. Osaki</name></region><name sortKey="Ben Hlomo, Y" sort="Ben Hlomo, Y" uniqKey="Ben Hlomo Y" first="Y." last="Ben-Shlomo">Y. Ben-Shlomo</name><name sortKey="Daniel, S E" sort="Daniel, S E" uniqKey="Daniel S" first="S. E." last="Daniel">S. E. Daniel</name><name sortKey="Lees, A J" sort="Lees, A J" uniqKey="Lees A" first="A. J." last="Lees">Andrew Lees (neurologue)</name><name sortKey="Quinn, N" sort="Quinn, N" uniqKey="Quinn N" first="N." last="Quinn">N. Quinn</name></country><country name="Japon"><noRegion><name sortKey="Osaki, Y" sort="Osaki, Y" uniqKey="Osaki Y" first="Y." last="Osaki">Y. Osaki</name></noRegion></country><country name="Italie"><region name="Latium"><name sortKey="Colosimo, C" sort="Colosimo, C" uniqKey="Colosimo C" first="C." last="Colosimo">C. Colosimo</name></region></country><country name="Autriche"><noRegion><name sortKey="Wenning, G" sort="Wenning, G" uniqKey="Wenning G" first="G." last="Wenning">G. Wenning</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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