Setting the clinical context to non-motor symptoms reflected by Park-pain, Park-sleep, and Park-autonomic subtypes of Parkinson's disease.

International review of neurobiology Pub Date : 2024-01-01 Epub Date: 2023-12-01 DOI:10.1016/bs.irn.2023.08.012
Mubasher A Qamar, Phoebe Tall, Daniel van Wamelen, Yi Min Wan, Katarina Rukavina, Anna Fieldwalker, Donna Matthew, Valentina Leta, Kirsty Bannister, K Ray Chaudhuri
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Abstract

Non-motor symptoms (NMS) of Parkinson's disease (PD) are well described in both clinical practice and the literature, enabling their management and enhancing our understanding of PD. NMS can dominate the clinical pictures and NMS subtypes have recently been proposed, initially based on clinical observations, and later confirmed in data driven analyses of large datasets and in biomarker-based studies. In this chapter, we provide an update on what is known about three common subtypes of NMS in PD. The pain (Park-pain), sleep dysfunction (Park-sleep), and autonomic dysfunction (Park-autonomic), providing an overview of their individual classification, clinical manifestation, pathophysiology, diagnosis, and potential treatments.

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为帕金森病的帕克疼痛亚型、帕克睡眠亚型和帕克自主神经亚型所反映的非运动症状设定临床背景。
帕金森病(PD)的非运动症状(NMS)在临床实践和文献中都有很好的描述,有助于对这些症状进行管理并加深我们对帕金森病的了解。非运动症状在临床表现中占主导地位,最近有人提出了非运动症状亚型,最初是基于临床观察,后来在大型数据集的数据驱动分析和基于生物标记物的研究中得到证实。在本章中,我们将介绍有关帕金森病 NMS 三种常见亚型的最新进展。疼痛亚型(Park-pain)、睡眠功能障碍亚型(Park-sleep)和自主神经功能障碍亚型(Park-autonomic),概述了它们各自的分类、临床表现、病理生理学、诊断和潜在治疗方法。
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A general clinical overview of the non-motor symptoms in Parkinson's disease: Neuropsychiatric symptoms. Executive dysfunction and cognitive decline, a non-motor symptom of Parkinson's disease captured in animal models. Insight gained from using animal models to study pain in Parkinson's disease. Investigating affective neuropsychiatric symptoms in rodent models of Parkinson's disease. Macro and micro-sleep dysfunctions as translational biomarkers for Parkinson's disease.
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