Improving the diagnostic accuracy in parkinsonism: a three-pronged approach
Identifieur interne : 000037 ( Main/Exploration ); précédent : 000036; suivant : 000038Improving the diagnostic accuracy in parkinsonism: a three-pronged approach
Auteurs : Marjolein B. Aerts [Pays-Bas] ; Rianne A J. Esselink [Pays-Bas] ; Bart Post [Pays-Bas] ; Bart P C. Van De Warrenburg [Pays-Bas] ; Bastiaan R. Bloem [Pays-Bas]Source :
- Practical Neurology [ 1474-7758 ] ; 2012-04.
Abstract
Separating Parkinson's disease from the various causes of atypical parkinsonism (AP) is a common and clinically relevant challenge in clinical practice. Distinguishing between the different causes of AP is even more difficult. Here the authors discuss a systematic, clinically based and three-pronged approach that can assist clinicians in establishing the correct diagnosis in the consulting room. The three consecutive steps include: (1) to verify that the clinical syndrome truly represents parkinsonism (hypokinetic–rigid syndrome); (2) to search systematically for ‘red flags’ (alarm signs that may signal the presence of AP); and (3) to integrate these two steps, as a basis for a narrow differential diagnosis and a guide for further ancillary tests.
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DOI: 10.1136/practneurol-2011-000132
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Distinguishing between the different causes of AP is even more difficult. Here the authors discuss a systematic, clinically based and three-pronged approach that can assist clinicians in establishing the correct diagnosis in the consulting room. The three consecutive steps include: (1) to verify that the clinical syndrome truly represents parkinsonism (hypokinetic–rigid syndrome); (2) to search systematically for ‘red flags’ (alarm signs that may signal the presence of AP); and (3) to integrate these two steps, as a basis for a narrow differential diagnosis and a guide for further ancillary tests.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Gueldre</li></region><settlement><li>Nimègue</li></settlement></list><tree><country name="Pays-Bas"><region name="Gueldre"><name sortKey="Aerts, Marjolein B" sort="Aerts, Marjolein B" uniqKey="Aerts M" first="Marjolein B" last="Aerts">Marjolein B. Aerts</name></region><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name><name sortKey="Esselink, Rianne A J" sort="Esselink, Rianne A J" uniqKey="Esselink R" first="Rianne A J" last="Esselink">Rianne A J. Esselink</name><name sortKey="Post, Bart" sort="Post, Bart" uniqKey="Post B" first="Bart" last="Post">Bart Post</name><name sortKey="Van De Warrenburg, Bart P C" sort="Van De Warrenburg, Bart P C" uniqKey="Van De Warrenburg B" first="Bart P C" last="Van De Warrenburg">Bart P C. Van De Warrenburg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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