Movement Disorders (revue)

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Parkinson's disease : A broken nosology

Identifieur interne : 000F40 ( PascalFrancis/Curation ); précédent : 000F39; suivant : 000F41

Parkinson's disease : A broken nosology

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

Source :

RBID : Pascal:05-0457450

Descripteurs français

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 α-synuclein gene. However, the phenotype of this one known cause is broader than PD and encompasses Lewy body dementia.
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A08 01  1  ENG  @1 Parkinson's disease : A broken nosology
A09 01  1  ENG  @1 Atypical Parkinsonian Disorders
A11 01  1    @1 HARDY (John)
A11 02  1    @1 LEES (Andrew J.)
A12 01  1    @1 POEWE (Werner) @9 ed.
A12 02  1    @1 WENNING (Gregor K.) @9 ed.
A14 01      @1 Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health @2 Bethesda, Maryland @3 USA @Z 1 aut.
A14 02      @1 Reta Lila Weston Institute of Neurological Studies, University College London @2 London @3 GBR @Z 1 aut. @Z 2 aut.
A15 01      @1 Department of Neurology, Medical University Innsbruck @2 Innsbruck @3 AUT @Z 1 aut. @Z 2 aut.
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A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
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A47 01  1    @0 05-0457450
A60       @1 P @2 C
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C01 01    ENG  @0 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 α-synuclein gene. However, the phenotype of this one known cause is broader than PD and encompasses Lewy body dementia.
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C02 03  X    @0 002B17A03
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Parkinson maladie @5 02
C03 02  X  ENG  @0 Parkinson disease @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @5 02
C03 03  X  FRE  @0 Nosologie @5 09
C03 03  X  ENG  @0 Nosology @5 09
C03 03  X  SPA  @0 Nosología @5 09
C03 04  X  FRE  @0 Démence corps Lewy @2 NM @5 10
C03 04  X  ENG  @0 Lewy body dementia @2 NM @5 10
C03 04  X  SPA  @0 Demencia cuerpos Lewy @2 NM @5 10
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Extrapyramidal syndrome @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 318
N44 01      @1 OTO
N82       @1 OTO
pR  
A30 01  1  ENG  @1 Atypical Parkinsonian Disorders - From Protein Dysfunction to Therapeutic Intervention. International Meeting @3 Innsbruck AUT @4 2003-02-19

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