Movement Disorders (revue)

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The Significance of Defining Preclinical or Prodromal Parkinson's Disease

Identifieur interne : 002B15 ( PascalFrancis/Curation ); précédent : 002B14; suivant : 002B16

The Significance of Defining Preclinical or Prodromal Parkinson's Disease

Auteurs : C. Warren Olanow [États-Unis] ; José A. Obeso [Espagne]

Source :

RBID : Pascal:12-0223373

Descripteurs français

English descriptors

Abstract

A body of clinical and pathologic evidence supports the concept that there a pre-Parkinson state exists prior to the time when Parkinson's disease (PD) can be formally diagnosed. The ability to define a the preclinical or prodromal PD state has many important implications. First, understanding the timing and sequence of pathologic change that occurs in PD could provide important clues as to the etiology and pathogenesis of PD, and provide insight into cell vulnerability factors. Second, defining a population of patients with preclinical PD would provide a potentially important group of subjects for clinical trials attempting to define disease-modifying therapies. And, finally, being able to determine that a person has PD at an earlier time point than is currently possible would permit the introduction of a putative disease-modifying therapy at a time when it could have more profound and long-lasting effects. This paper reviews the clinical significance of defining preclinical PD.
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A08 01  1  ENG  @1 The Significance of Defining Preclinical or Prodromal Parkinson's Disease
A09 01  1  ENG  @1 Prodromal Parkinson's Disease
A11 01  1    @1 OLANOW (C. Warren)
A11 02  1    @1 OBESO (José A.)
A12 01  1    @1 BERG (Daniela) @9 ed.
A12 02  1    @1 POEWE (Werner) @9 ed.
A14 01      @1 Departments of Neurology and Neuroscience, Mount Sinai School of Medicine @2 New York, New York @3 USA @Z 1 aut.
A14 02      @1 Department of Neurology, University of Navarra @2 Pamplona @3 ESP @Z 2 aut.
A15 01      @1 Department of Neurodegeneration, Hertie Institute of Clinical Brain Research and German Center of Neurodegenerative Diseases (DZNE), University of Tübingen @2 Tübingen @3 DEU @Z 1 aut.
A15 02      @1 Department of Neurology, University of Innsbruck @2 Innsbruck @3 AUT @Z 2 aut.
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C01 01    ENG  @0 A body of clinical and pathologic evidence supports the concept that there a pre-Parkinson state exists prior to the time when Parkinson's disease (PD) can be formally diagnosed. The ability to define a the preclinical or prodromal PD state has many important implications. First, understanding the timing and sequence of pathologic change that occurs in PD could provide important clues as to the etiology and pathogenesis of PD, and provide insight into cell vulnerability factors. Second, defining a population of patients with preclinical PD would provide a potentially important group of subjects for clinical trials attempting to define disease-modifying therapies. And, finally, being able to determine that a person has PD at an earlier time point than is currently possible would permit the introduction of a putative disease-modifying therapy at a time when it could have more profound and long-lasting effects. This paper reviews the clinical significance of defining preclinical PD.
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C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Asymptomatique @5 09
C03 03  X  ENG  @0 Asymptomatic @5 09
C03 03  X  SPA  @0 Asintomático @5 09
C03 04  X  FRE  @0 Prodrome @4 CD @5 96
C03 04  X  ENG  @0 Prodrome @4 CD @5 96
C03 04  X  SPA  @0 Pródromo @4 CD @5 96
C07 01  X  FRE  @0 Pathologie de l'encéphale @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 Syndrome extrapyramidal @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 Pathologie du système nerveux central @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       @1 170
N44 01      @1 OTO
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