Laboratory assessments in the course of Parkinson's disease: a clinician's perspective

J Neural Transm (Vienna). 2016 Jan;123(1):65-71. doi: 10.1007/s00702-015-1481-6. Epub 2015 Nov 14.

Abstract

Physicians, caregivers and patients themselves must be alert to the onset of and changes in motor and non-motor features during the course of Parkinson's disease (PD). Parallel laboratory routine assessments are necessary because of the evolving impairment of the general health status of the individual. A number of potential biomarkers for the diagnosis of PD are currently under investigation, with diagnosis early in the disease course a particular goal, even before the onset of motor symptoms. The aim of this guideline article is to provide user-friendly, clinical evidence-based recommendations for using laboratory pathological testing for the diagnosis and differential diagnosis of PD, for assessing its time course, and managing complications of long-term dopaminergic therapy and the disabling motor features that develop in the later stages of the disease.

Keywords: Diagnosis; Laboratory; Levodopa; Parkinson’s disease; Surveillance.

Publication types

  • Review

MeSH terms

  • Clinical Laboratory Techniques / methods*
  • Confusion / diagnosis
  • Confusion / etiology
  • Dementia / diagnosis
  • Dementia / etiology
  • Diagnosis, Differential*
  • Humans
  • Levodopa / blood
  • Parkinson Disease / blood
  • Parkinson Disease / complications
  • Parkinson Disease / diagnosis*
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / etiology
  • Vitamins / metabolism

Substances

  • Vitamins
  • Levodopa