Avtor/Urednik		Quinn, N
Naslov		Parkinsonism - recognition and differential diagnosis
Prevedeni naslov		Parkinsonizem - diagnoza in diferencialna diagnoza
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 65, št. Suppl 3
Leto izdaje		1996
Obseg		str. III-19-23
Jezik		eng
Abstrakt		The diagnostic process, possible pitfalls, and clinical clues that may be useful in parkinsonism and Parkinson's disease are considered. There is an extensive list of conditions that can masquerade as Parkinson's disease. Those that most frequently cause problems include essential tremor, arteriosclerotic (vascular) pseudoparkinsonism, drug-induced parkinsonism, multiple system atrophy, progressive supranuclear palsies. The less common causes of pseudo- or true parkinsonism include: Alzheimer's disease, Wilson's disease, Huntington's disease, space-occupying lesions, etc. The article covers "red flags", i.e. clinical features that should make one careful about diagnosing Parkinson's disease, however, none of these is individually diagnostic and some, apart from cerebellar and pyramidal signs, can also occasionally be seen in idiopathic disease.
Izvleček		V prispevku so prikazani diagnostični postopek, možne diagnostične pasti in klinični znaki, ki so koristni pri diagnozi parkinsonizma in Parkinsonove bolezni. Cela vrsta bolezenskih stanj ima lahko sliko, podobno kot Parkinsonova bolezen. Najpogosteje nas lahko zavedejo esencialni tremor, arteriosklerotični (vaskularni) psevdoparkinsonizem, z zdravili povzročeni parkinsonizem, multipla sistemska atrofija, progresivne supranuklearne paralize. Med redkejše vzroke psevdo- ali pa pravega parkinsonizma prištevamo Alzheimerjevo bolezen, Wilsonovo bolezen, Huntingtonovo bolezen, ekspanzivne lezije ipd. Članek opozarja tudi na značilnosti, ki naj zdravniku okrepijo dvom, da gre pri bolniku za Parkinsonovo bolezen, in sum, da je prava diagnoza drugačna. Nobena od teh značilnosti ni odločilno diagnostična; z izjemo piramidnih in cerebelarnih znakov jih lahko vidimo tudi pri idiopatski varianti.
Deskriptorji		PARKINSON DISEASE PARKINSON DISEASE, SYMPTOMATIC