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B. Snow, M. Wiens, C. Hertzman and D. Calne
Belzberg Laboratory of Clinical Neuroscience, University of British
Columbia, Vancouver.

In a rural community of 80,000 people 69 patients were identified as
having a diagnosis of Parkinson's disease. After interview and
examination we found that 55 met the generally accepted diagnostic
criteria for Parkinson's disease, 4 had possible Parkinson's disease, 6
had essential tremor, 2 had dementia and 2 had other conditions. The
patients with Parkinson's disease had clinical and epidemiologic
characteristics similar to those of patients in previous, mainly
hospital-based, studies. These characteristics included mean age at
onset (63 years), frequency rate of dementia (20%) and presence of
postural tremor (11%). The pattern of treatment varied, some patients
receiving more medication than is usual for the severity of their
illness, and some patients receiving less than is usual. Parkinson's
disease can be difficult to diagnose and manage because of the clinical
variation between patients in presentation and response to treatment.

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