Parkinson's disease in over 20s: diagnosis and management

National Institute for Health and Care Excellence

Key priorities for implementation

The following recommendations have been identified as priorities for implementation

Referral to expert for accurate diagnosis

  • People with suspected Parkinson's disease (PD) should be referred quickly and untreated to a specialist with expertise in the differential diagnosis of this condition

Diagnosis and expert review

  • The diagnosis of PD should be reviewed regularly and reconsidered if atypical clinical features develop
  • Acute levodopa and apomorphine challenge tests should not be used in the differential diagnosis of parkinsonian syndromes

Regular access to specialist nursing care

  • People with PD should have regular access to the following:
    • clinical monitoring and medication adjustment
    • a continuing point of contact for support, including home visits, when appropriate
    • a reliable source of information about clinical and social matters of concern to people with PD and their carers which may be provided by a PD nurse specialist

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