Abstract
Parkinson’s plus syndrome is a term that refers to disorders of movement and cognition that are often confused with Parkinson’s disease. The three main disorders are progressive supranuclear palsy (PSP), multisystem atrophy (MSA), and corticobasal degeneration (CBD). These syndromes are pathologically diverse encompassing a number of distinct proteinopathies but have in common clinical features of movement abnormality, cognitive decline, a more rapid clinical course than Parkinson’s disease, and a generally poor therapeutic response to levodopa. The diagnosis is largely clinical with some reliable radiological features. Therapy is largely in the realm of multidisciplinary symptomatic support but advances in molecular and biological understanding is leading to exciting therapeutic avenues.
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Gilman S, et al. Second consensus statement on the diagnosis of multiple system atrophy. Neurology. 2008; 71(9):670–6
Golbe LI. Progressive Supranuclear Palsy. In Watts RL, Koller WC eds. Movement Disorders Neurological Principles and Practice. Pa: McGraw-Hill; 1997: 279–297
Lang AE, Riley DE, Bergeron C. Cortical-basal ganglionic degeneration. In: Calne DB, ed. Neurodegenerative Diseases. Philadelphia: WB Saunders; 1994:877–94
Litvan I et al, Clinical research criteria for the diagnosis of progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome): report of the NINDS-SPSP international workshop. Neurology. 1996;47(1):1–9
Rebeiz JJ, Kolodny EH, Richardson EP Jr. Corticodentatonigral degeneration with neuronal achromasia. Arch Neurol. Jan 1968;18(1):20–33
Reich SG, Grill SE. Corticobasal degeneration. Curr Treat Options Neurol. 2009;11(3):179–85
Williams DR, Lees AJ, What Features Improve the Accuracy of the Clinical Diagnosis of Progressive Supranuclear Palsy-parkinsonism (PSP-P). Movement Disorders 2010;25 (3): 357–362
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Molloy, F.M., Healy, D.G. (2011). Parkinsonism Plus Syndromes. In: Hardiman, O., Doherty, C. (eds) Neurodegenerative Disorders. Springer, London. https://doi.org/10.1007/978-1-84996-011-3_9
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DOI: https://doi.org/10.1007/978-1-84996-011-3_9
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