TY  - JOUR
AU  - Schröter, Nils
AU  - van Eimeren, Thilo
AU  - Classen, Joseph
AU  - Levin, Johannes
AU  - Redecker, Christoph
AU  - Wolz, Martin
AU  - Tönges, Lars
TI  - Significance of clinical symptoms and red flags in early differential diagnosis of Parkinson's disease and atypical Parkinsonian syndromes.
JO  - Journal of neural transmission
VL  - 130
IS  - 6
SN  - 0375-9245
CY  - Wien [u.a.]
PB  - Springer
M1  - DZNE-2023-00484
SP  - 839-846
PY  - 2023
AB  - The clinical presentation of Parkinson's disease and atypical Parkinsonian syndromes is often heterogeneous. Additional diagnostic procedures including brain imaging and biomarker analyses can help to appreciate the various syndromes, but a precise clinical evaluation and differentiation is always necessary. To better assess the relevance of distinct clinical symptoms that arose within 1 year of disease manifestation and evaluate their indicative potential for an atypical Parkinsonian syndrome, we conducted a modified Delphi panel with seven movement disorder specialists. Five different topics with several clinical symptom items were discussed and consensus criteria were tested. This resulted in distinct symptom patterns for each atypical Parkinsonian syndrome showing the multitude of clinical involvement in each neurodegenerative disease. Strongly discriminating clinical signs were few and levels of indication were variable. A prospective validation of the assessments made is needed. This demonstrates that both clinical evaluation and elaborate additional diagnostic procedures are needed to achieve a high diagnostic standard.
KW  - Humans
KW  - Parkinson Disease: diagnosis
KW  - Diagnosis, Differential
KW  - Emblems and Insignia
KW  - Supranuclear Palsy, Progressive: diagnosis
KW  - Parkinsonian Disorders: diagnosis
KW  - Multiple System Atrophy: diagnosis
KW  - Atypical Parkinson syndromes (Other)
KW  - CBS (Other)
KW  - DLB (Other)
KW  - MSA (Other)
KW  - PSP (Other)
LB  - PUB:(DE-HGF)16
C2  - pmc:PMC10199882
C6  - pmid:37046147
DO  - DOI:10.1007/s00702-023-02634-5
UR  - https://pub.dzne.de/record/257687
ER  -