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Nihon Rinsho. 2004 Sep;62(9):1608-16.

[Essential points to differentiate various diseases causing parkinsonism].

[Article in Japanese]

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  • 1Department of Neurology, Mie University School of Medicine.


This review article deals with the cardinal features to differentiate various conditions which present with parkinsonism other than Parkinson's disease. Special attention is paid to the distinctive clinical features, laboratory data and neuroimaging findings of frequent diseases as well as important ones including multiple system atrophy, progressive supranuclear palsy, corticobasal degeneration, Lewy body disease, drug-induced parkinsonism, vascular pseudo-parkinsonism, normal pressure hydrocephalus and manganese intoxication due to parenteral nutrition. MRI is useful to diagnose MSA, vascular pseudo-parkinsonism and manganese intoxication. Benzamide derivatives including sulpiride and metoclopramide are the main causes of drug-induced parkinsonism in recent years in Japan.

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