Movement Disorders (revue)

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A Critical Appraisal of the Premotor Symptoms of Parkinson's Disease: Potential Usefulness in Early Diagnosis and Design of Neuroprotective Trials

Identifieur interne : 000614 ( PascalFrancis/Corpus ); précédent : 000613; suivant : 000615

A Critical Appraisal of the Premotor Symptoms of Parkinson's Disease: Potential Usefulness in Early Diagnosis and Design of Neuroprotective Trials

Auteurs : Anthony E. Lang

Source :

RBID : Pascal:11-0228423

Descripteurs français

English descriptors

Abstract

The neurodegenerative process is well established in Parkinson patients presenting to a physician with early motor signs. There is increasing evidence that a variety of nonmotor features can antedate the typical presentation by many years. As the search for successful disease-modifying treatment advances, it is logical to consider how this could be applied to patients in the earliest stages of the disease, indeed before motor features develop, with the obvious goal of delaying and even preventing the onset of the motor syndrome. However, many of these nonmotor symptoms are rather nonspecific and are not uncommon in the general population. Being able to identify individuals in whom these features are more likely to represent true premotor Parkinson's disease represents a major challenge. Until widely applicable and reliable biomarkers for the presence of Parkinson's disease-related pathology are developed (including biomarkers of disease severity and rate of progression), further evaluation of possible premotor features in selected populations will probably serve as the basis for future studies of disease-modifying therapies. This article will review the current status of premotor symptoms of Parkinson's disease and discuss their potential for early diagnosis and the design of neuroprotective trials.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
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A03   1    @0 Mov. disord.
A05       @2 26
A06       @2 5
A08 01  1  ENG  @1 A Critical Appraisal of the Premotor Symptoms of Parkinson's Disease: Potential Usefulness in Early Diagnosis and Design of Neuroprotective Trials
A11 01  1    @1 LANG (Anthony E.)
A14 01      @1 University of Toronto @2 Toronto, Ontario @3 CAN @Z 1 aut.
A20       @1 775-783
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000189767620020
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
A45       @0 53 ref.
A47 01  1    @0 11-0228423
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 The neurodegenerative process is well established in Parkinson patients presenting to a physician with early motor signs. There is increasing evidence that a variety of nonmotor features can antedate the typical presentation by many years. As the search for successful disease-modifying treatment advances, it is logical to consider how this could be applied to patients in the earliest stages of the disease, indeed before motor features develop, with the obvious goal of delaying and even preventing the onset of the motor syndrome. However, many of these nonmotor symptoms are rather nonspecific and are not uncommon in the general population. Being able to identify individuals in whom these features are more likely to represent true premotor Parkinson's disease represents a major challenge. Until widely applicable and reliable biomarkers for the presence of Parkinson's disease-related pathology are developed (including biomarkers of disease severity and rate of progression), further evaluation of possible premotor features in selected populations will probably serve as the basis for future studies of disease-modifying therapies. This article will review the current status of premotor symptoms of Parkinson's disease and discuss their potential for early diagnosis and the design of neuroprotective trials.
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C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
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C03 02  X  SPA  @0 Sistema nervioso patología @5 02
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C03 04  X  ENG  @0 Medical screening @5 10
C03 04  X  SPA  @0 Descubrimiento @5 10
C03 05  X  FRE  @0 Olfaction @5 11
C03 05  X  ENG  @0 Olfaction @5 11
C03 05  X  SPA  @0 Olfación @5 11
C03 06  X  FRE  @0 Mouvement oculaire rapide @5 12
C03 06  X  ENG  @0 Rapid eye movement @5 12
C03 06  X  SPA  @0 Movimiento ocular rapido @5 12
C03 07  X  FRE  @0 Comportement @5 13
C03 07  X  ENG  @0 Behavior @5 13
C03 07  X  SPA  @0 Conducta @5 13
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
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Format Inist (serveur)

NO : PASCAL 11-0228423 INIST
ET : A Critical Appraisal of the Premotor Symptoms of Parkinson's Disease: Potential Usefulness in Early Diagnosis and Design of Neuroprotective Trials
AU : LANG (Anthony E.)
AF : University of Toronto/Toronto, Ontario/Canada (1 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 5; Pp. 775-783; Bibl. 53 ref.
LA : Anglais
EA : The neurodegenerative process is well established in Parkinson patients presenting to a physician with early motor signs. There is increasing evidence that a variety of nonmotor features can antedate the typical presentation by many years. As the search for successful disease-modifying treatment advances, it is logical to consider how this could be applied to patients in the earliest stages of the disease, indeed before motor features develop, with the obvious goal of delaying and even preventing the onset of the motor syndrome. However, many of these nonmotor symptoms are rather nonspecific and are not uncommon in the general population. Being able to identify individuals in whom these features are more likely to represent true premotor Parkinson's disease represents a major challenge. Until widely applicable and reliable biomarkers for the presence of Parkinson's disease-related pathology are developed (including biomarkers of disease severity and rate of progression), further evaluation of possible premotor features in selected populations will probably serve as the basis for future studies of disease-modifying therapies. This article will review the current status of premotor symptoms of Parkinson's disease and discuss their potential for early diagnosis and the design of neuroprotective trials.
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FD : Maladie de Parkinson; Pathologie du système nerveux; Diagnostic; Dépistage; Olfaction; Mouvement oculaire rapide; Comportement
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central
ED : Parkinson disease; Nervous system diseases; Diagnosis; Medical screening; Olfaction; Rapid eye movement; Behavior
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Parkinson enfermedad; Sistema nervioso patología; Diagnóstico; Descubrimiento; Olfación; Movimiento ocular rapido; Conducta
LO : INIST-20953.354000189767620020
ID : 11-0228423

Links to Exploration step

Pascal:11-0228423

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