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Open Access 06-06-2024 | Parkinson's Disease | Guidelines

Diagnosis and treatment of Parkinson´s disease (guideline of the German Society for Neurology)

Authors: Günter Höglinger, Claudia Trenkwalder, German Parkinson’s Guidelines Committee

Published in: Neurological Research and Practice | Issue 1/2024

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Abstract

Introduction

The aim of this German national guideline is to optimize the clinical care of patients with Parkinson's disease (PD) in terms of diagnostics, drug and surgical treatment and care.

Summary or definition of the topic

This guidance was prepared for the German Society of Neurology (DGN) in collaboration with the Austrian Society of Neurology (ÖGN) and the Swiss Neurological Society (SNG) for German-speaking countries. The guidelines for the diagnosis and treatment of PD have been revised by a national expert group and the guideline commission of the DGN at S2k level. The main objective of these guidelines is to optimize the clinical care of PD patients regarding diagnosis, including early detection, technical diagnostic examinations, and pharmacological as well as invasive treatment options.

Recommendations

The updated PD diagnosis and treatment guidelines are emphasizing optimized clinical care. Key revisions include preferring the name "Parkinson's disease" over previous terms and adopting International Parkinson and Movement Disorder Society (MDS) diagnostic criteria. Recommendations cover genetic and imaging diagnostics, initial pharmacotherapy considering efficacy and patient factors, and tailored pharmacological combinations for complications. Guidelines extend to managing cognitive, affective, psychotic, and autonomic symptoms, along with non-oral therapies like pump therapy and deep brain stimulation. Special situations like akinetic crisis, driving ability, and care concepts are addressed, ensuring comprehensive management for PD patients at various stages and conditions.

Conclusions

This guidance reflects the state of the art at the beginning of 2024.
Appendix
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Metadata
Title
Diagnosis and treatment of Parkinson´s disease (guideline of the German Society for Neurology)
Authors
Günter Höglinger
Claudia Trenkwalder
German Parkinson’s Guidelines Committee
Publication date
06-06-2024

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