4.8 Review

Parkinson's disease

Journal

LANCET
Volume 363, Issue 9423, Pages 1783-1793

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/S0140-6736(04)16305-8

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Parkinson's disease is the most common serious movement disorder in the world, affecting about 1% of adults older than 60 years. The disease is attributed to selective loss of neurons in the substantia nigra, and its cause is enigmatic in most individuals. Symptoms of Parkinson's disease respond in varying degrees to drugs, and surgery offers hope for patients no longer adequately controlled in this manner. The high prevalence of the disease, and important advances in its management, mean that generalists need to have a working knowledge of this disorder. This Seminar covers the basics, from terminology to aspects of diagnosis, treatment, and pathogenesis.

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