Movement Disorders (revue)

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Parkinson's disease: a broken nosology.

Identifieur interne : 001369 ( Ncbi/Merge ); précédent : 001368; suivant : 001370

Parkinson's disease: a broken nosology.

Auteurs : John Hardy [États-Unis] ; Andrew J. Lees

Source :

RBID : pubmed:16092073

English descriptors

Abstract

Parkinson's disease (PD) is a clinical diagnosis. We argue here that if we are to make progress in understanding its underlying pathogenesis, there is a need to have a pathological definition of disease that includes the presence of Lewy bodies and nigral loss in the ventrolateral tier of the pars compacta of the substantia nigra. Using such a definition, there is only one certain and known cause: mutations in the alpha-synuclein gene. However, the phenotype of this one known cause is broader than PD and encompasses Lewy body dementia.

DOI: 10.1002/mds.20532
PubMed: 16092073

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pubmed:16092073

Le document en format XML

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<div type="abstract" xml:lang="en">Parkinson's disease (PD) is a clinical diagnosis. We argue here that if we are to make progress in understanding its underlying pathogenesis, there is a need to have a pathological definition of disease that includes the presence of Lewy bodies and nigral loss in the ventrolateral tier of the pars compacta of the substantia nigra. Using such a definition, there is only one certain and known cause: mutations in the alpha-synuclein gene. However, the phenotype of this one known cause is broader than PD and encompasses Lewy body dementia.</div>
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