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Diagnosis and Treatment of Parkinson's Disease

The diagnosis of Parkinson's Disease (PD) in life and its differentiation from other movement and tremor disorders is still a clinical one, largely dependent on the delineation of clinical features first described more than 100 years ago.

Neuropathological studies have shown that this diagnosis can by unreliable with a reported 26% rate of misdiagnosis of idiopathic Parkinson's Disease.

Early differentiation of PD from Essential Tremor (ET) may also be problematic - between 10 and 25% of ET patents are initially diagnosed and treated as PD.

Accurate early diagnosis is important both for prognosis and treatment. Dopaminergic drugs, designed for the treatment of iPD, provide little or no benefit to other groups of patents while still conferring the attendant side-effects.

Our research has helped to validate a new imaging technique which can be used to diagnose PD at the earliest stages and can help to assess the effectiveness of drugs or surgical techniques to slow down the progress of the disease.

Essential
tremor
Early PD
Late PD
MRI scan

The three scans on the left show how the uptake of this material is high in control subject or patents with essential tremor but progressively lower as PD progresses. The scan on the right shows the location of the parts of the brain affected by PD.

 
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The Neurosciences Foundation,
Central Library, Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF
Charity No. Ed.C.R.42080

Tel. +44 (0)141 201 2165    Fax. +44 (0)141 201 2993