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
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