Risk factors for nursing home placement in advanced Parkinson's disease
Autor: | Margery H. Mark, Dennis W. Dickson, K. O. Schwarz, Roger C. Duvoisin, Alice Lazzarini, Lawrence I. Golbe |
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Rok vydání: | 1993 |
Předmět: | |
Zdroj: | Neurology. 43:2222-2222 |
ISSN: | 1526-632X 0028-3878 |
DOI: | 10.1212/wnl.43.11.2222 |
Popis: | The few previously reported patients with familial parkinsonism and Lewy-body pathology in the substantia nigra displayed a variety of clinical and pathologic syndromes. We now describe a family with very slowly progressive Parkinson's disease (PD) that has, in most cases, responded poorly to levodopa and includes subjective visual difficult. Four personally confirmed cases--with onset at ages 35, 25, 16, and 16-have occurred in three generations, and four suspicious cases have occurred in three other generations. There has been a trend toward progressively younger age of onset. One autopsied case showed a distribution of cell loss and Lewy bodies typical of PD. The hereditary pattern is most compatible with autosomal dominance. This kindred's illness shows that a presumably single Mendelian dominant gene can cause the clinical and pathologic features of PD, and further extends the clinical spectrum of pathologically typical Lewy-body PD. |
Databáze: | OpenAIRE |
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