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      Parkinsonism Relat Disord. 2005 Jun;11 Suppl 1:S31-7. Epub 2005 Apr 20.  

 
Controversy: is Parkinson's disease a single disease entity? Yes.

Takahashi H, Wakabayashi K.

Department of Pathology, Brain Research Institute, University of Niigata, 
Japan. [log in to unmask]

Parkinson's disease (PD) is a common, and in principle, sporadic, 
neurodegenerative disorder that occurs in adults. Pathological studies have 
revealed that in PD, nerve cell loss and Lewy bodies (LB) are distributed 
widely in the nervous system. Moreover, molecular pathology has made 
remarkable advances over the last several years, after the identification of 
alpha-synuclein gene abnormality in familial PD. Extensive pathological 
findings support the idea that PD is a single disease entity and that there 
are no cases of PD in which neurodegeneration occurs only in the substantia 
nigra and in which there are no LBs.

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