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Parkinsonism is a clinical syndrome characterized by the four motor symptoms found in Parkinson's disease: tremor, bradykinesia (slowed movements), rigidity, and postural instability. [1] [2] Parkinsonism gait problems can lead to falls and serious physical injuries. Other common symptoms include:
Parkinson-plus syndromes (PPS) are a group of neurodegenerative [1] diseases featuring the classical features of Parkinson's disease (tremor, rigidity, akinesia/bradykinesia, and postural instability) with additional features that distinguish them from simple idiopathic Parkinson's disease (PD).
Frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17) is an autosomal dominant neurodegenerative tauopathy and Parkinson plus syndrome. [3] FTDP-17 is caused by mutations in the MAPT (microtubule associated protein tau) gene located on the q arm of chromosome 17, and has three cardinal features: behavioral and personality changes, cognitive impairment, and motor symptoms.
Four motor symptoms are considered cardinal signs in PD: slowness of movement (bradykinesia), tremor, rigidity, and postural instability. [1] Typical for PD is an initial asymmetric distribution of these symptoms, where in the course of the disease, a gradual progression to bilateral symptoms develops, although some asymmetry usually persists.
Parkinson's disease starts as a movement disorder, but progresses in most cases to include dementia and changes in mood and behavior. [6] The signs, symptoms and cognitive profile of PDD are similar to those of DLB; [2] DLB and PDD are clinically similar after dementia occurs in Parkinson's disease. [5]
Agricultural areas are associated with higher Parkinson's prevalence, possibly due to exposure to pesticides and industrial waste. As of 2024, Parkinson's is the second most common neurodegenerative disease and the fastest-growing in total number of cases. [233] [234] As of 2023, global prevalence was estimated to be 1.51 per 1000. [235]
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