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Phil:

You are correct in stating that Parkinsonian Syndrome INCLUDES idiopathic
Parkinson's Disease.

Indeed, a Parkinsonian Syndrome is ANY disorder which causes symptoms
similar to Parkinson's Disease.  A syndrome is merely a collection of
symptoms, and NOT a pathologic diagnosis.  It may be a category of diseases
with a number of symptoms in common.

The most common cause of a Parkinsonian Syndrome is Parkinson's Disease,
from which the Parkinsonian Syndrome category derives its name.  ALL of the
Parkinson PLUS diseases (such as multiple system atrophy, Shy Drager, PSP,
cortical basal ganglionic degeneration, diffuse Lewy body disease, etc) are
also Parkinsonian Syndromes.

I hope that helps clarify the confusion.

Jorge A Romero, MD


-----Original Message-----
From: Parkinson's Information Exchange Network
[mailto:[log in to unmask]]On Behalf Of Phil Tompkins
Sent: Wednesday, May 03, 2000 11:35 AM
To: [log in to unmask]
Subject: Re: Parkinson syndrome


The terminology is confusing.  Here is the complete entry covering
PD in the Social Security "Listing of Impairments", which SSA
uses to determine disability:

"11.06 Parkinsonian syndrome with the following signs: Significant
rigidity, bradykinesia, or tremor in two extremities, which, singly
or in combination, result in sustained disturbance of gross and
dexterous movements, or gait and station."

This suggests that "Parkinsonian syndrome" includes idiopathic
PD.  I suspect that the terminology is rather old.

Phil Tompkins
Amherst, Mass
age 62 / dx 1990