• Primary care · Jun 2015

    Review

    Approach to the patient with Parkinson disease.

    • Kevin E Johnson.
    • Family Medicine Residency, Gwinnett Medical Center, 665 Duluth Hwy, Suite 501, Lawrenceville, GA 30046, USA. Electronic address: kejohnson@gwinnettmedicalcenter.org.
    • Prim. Care. 2015 Jun 1; 42 (2): 205-15.

    AbstractParkinson disease (PD) is a progressive neurodegenerative disease with motor, nonmotor, and behavioral findings. Imaging technology advances have allowed the characterization of the underlying pathologic changes to the brain and identification of specific lesions in dopaminergic neurons. Although certain imaging techniques allow for detection up to 20 years before the onset of motor symptoms, these advances have yet to produce meaningful treatments to halt the disease or reverse its course. Current treatments are directed at optimizing symptomatic management. Referral to a movement disorder specialist familiar with PD should be considered for providers with limited familiarity in diagnosis or treatment. Copyright © 2015 Elsevier Inc. All rights reserved.

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