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Abstract(s)
doença de Parkinson é reconhecida há muitos anos, no entanto, só em 1920 a comunidade neurológica reconheceu a existência de outros distúrbios com sobreposição de sintomas, surgindo a necessidade de diferenciação entre estes. Esta sintomatologia é atualmente designada por parkinsonismo e é caracterizada pela combinação de seis sintomas cardinais: tremor em repouso, rigidez, bradicinesia, perda de reflexos posturais, postura fletida e bloqueio motor.
Embora a doença de Parkinson seja considerada a etiologia mais comum, as outras causas não são raras. Como tal, advém a necessidade de um esclarecimento para diferenciar as várias etiologias. Os critérios de diagnóstico atuais possibilitam o diagnóstico diferencial, contudo, a inexatidão de diagnóstico é ainda um achado relativamente comum.
Esta dissertação tem como objetivos fazer a revisão bibliográfica sobre o diagnóstico do parkinsonismo, identificar novas informações disponíveis e estabelecer linhas orientadoras de auxílio aos clínicos para o correto diagnóstico diferencial de casos de parkinsonismo.
Parkinson’s disease is known for many years, however, only in 1920 the neurologic community acknowledge the existence of other disorders with overlapping symptomatology, creating the need to differentiate this disorders. Nowadays, this symptomatology is known for parkinsonism and is characterized for the combination of six cardinal signs: rest tremor, rigidity, bradykinesia, loss of postural reflexes, flexed posture and motor blocks. Although Parkinson’s disease is considered the most common etiology, other causes are not rare. Hereupon, it is necessary an update on how to differentiate the diversity of etiologies. The current diagnosis criteria allow the differential diagnosis, nevertheless, the inaccuracy of diagnosis is still a relatively common finding. These dissertation goals are to make a bibliographic revision about parkinsonism diagnosis, identify new available information and to establish grid lines to help clinics to accomplish a correct differential diagnosis of parkinsonism cases.
Parkinson’s disease is known for many years, however, only in 1920 the neurologic community acknowledge the existence of other disorders with overlapping symptomatology, creating the need to differentiate this disorders. Nowadays, this symptomatology is known for parkinsonism and is characterized for the combination of six cardinal signs: rest tremor, rigidity, bradykinesia, loss of postural reflexes, flexed posture and motor blocks. Although Parkinson’s disease is considered the most common etiology, other causes are not rare. Hereupon, it is necessary an update on how to differentiate the diversity of etiologies. The current diagnosis criteria allow the differential diagnosis, nevertheless, the inaccuracy of diagnosis is still a relatively common finding. These dissertation goals are to make a bibliographic revision about parkinsonism diagnosis, identify new available information and to establish grid lines to help clinics to accomplish a correct differential diagnosis of parkinsonism cases.
Description
Keywords
Doença de Parkinson Parkinsonismo Parkinsonismo Atípico Parkinsonismo Secundário