Classification of atypical parkinsonism per pathology versus phenotype

Gesine Respondek, Maria Stamelou, Günter U. Höglinger

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

11 Scopus citations

Abstract

The umbrella term “atypical parkinsonism” refers to a clinical presentation with various causes, emphasizing the clinical commonality of diseases in which atypical parkinsonism can present. This term is useful for describing the phenomenology of a movement disorder and to classify patients according to their clinical presentation. In contrast to this classification per phenotype, a classification per pathology is needed when it comes to understanding the pathogenesis and designing and delivering disease-modifying therapeutic interventions. Clinico-pathological correlation studies have revealed enormous clinical heterogeneity and vast clinical overlap in pathologically defined diseases related to atypical parkinsonism. Thus, the classification of patients with atypical parkinsonism per phenotype has limited validity for predicting the underlying pathology. This chapter will contrast the phenotype-driven classification and the pathology-driven classification of neurodegenerative diseases related to atypical parkinsonism and discuss future directions to improve pathology-specific diagnosis.

Original languageEnglish
Title of host publicationParkinsonism Beyond Parkinson's Disease
EditorsMaria Stamelou, Günter U. Höglinger
PublisherAcademic Press Inc.
Pages37-47
Number of pages11
ISBN (Print)9780128177303
DOIs
StatePublished - 2019
Externally publishedYes

Publication series

NameInternational Review of Neurobiology
Volume149
ISSN (Print)0074-7742
ISSN (Electronic)2162-5514

Keywords

  • Atypical parkinsonism
  • Classification
  • Clinico-pathological correlation
  • Pathology
  • Phenotypes
  • Tauopathies
  • α-Synucleinopathies

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