MENSIKOVA, K., P. KANOVSKY, P. OTRUBA, M. KAISEROVA, M. VASTIK, P. HLUSTIK, L. MIKULICOVA, T. BARTONIKOVA, P. DUDOVA, P. JUGAS, J. OVECKA, L. SACHOVA, F. DVORSKY, J. KRSA, M. GODAVA, R. VODICKA, R. VRTEL, Martin BAREŠ and V. JANOUT. Epidemiological Study of Neurodegenerative Parkinsonism in "Hornacko", a Specific Region of the South-eastern Moravia, Czech Republic. Česká a Slovenska neurologie a neurochirurgie. Praha: Česká lékařská společnost J.E. Purkyně, 2014, vol. 77, No 6, p. 714-720. ISSN 1210-7859. Available from: https://dx.doi.org/10.14735/amcsnn2014714.
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Basic information
Original name Epidemiological Study of Neurodegenerative Parkinsonism in "Hornacko", a Specific Region of the South-eastern Moravia, Czech Republic
Authors MENSIKOVA, K. (203 Czech Republic), P. KANOVSKY (203 Czech Republic), P. OTRUBA (203 Czech Republic), M. KAISEROVA (203 Czech Republic), M. VASTIK (203 Czech Republic), P. HLUSTIK (203 Czech Republic), L. MIKULICOVA (203 Czech Republic), T. BARTONIKOVA (203 Czech Republic), P. DUDOVA (203 Czech Republic), P. JUGAS (203 Czech Republic), J. OVECKA (203 Czech Republic), L. SACHOVA (203 Czech Republic), F. DVORSKY (203 Czech Republic), J. KRSA (203 Czech Republic), M. GODAVA (203 Czech Republic), R. VODICKA (203 Czech Republic), R. VRTEL (203 Czech Republic), Martin BAREŠ (203 Czech Republic, guarantor, belonging to the institution) and V. JANOUT (203 Czech Republic).
Edition Česká a Slovenska neurologie a neurochirurgie, Praha, Česká lékařská společnost J.E. Purkyně, 2014, 1210-7859.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.165
RIV identification code RIV/00216224:14110/14:00080057
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.14735/amcsnn2014714
UT WoS 000346229200007
Keywords in English parkinsonism; neuroepidemiology; prevalence study; three-stage ascertainment method; inheritance
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 13/4/2015 11:18.
Abstract
Introduction: It has been suggested that the prevalence of neurodegenerative diseases in small, isolated European communities might be higher than in the general population. We recently observed this phenomenon in a small specific region of south-eastern Moravia. Objective: To assess the prevalence of neurodegenerative parkinsonism in an isolated region with a rural population in south-eastern Moravia. Methods: A three-stage method of data collection was used. In the first phase, originally designed questionnaires were distributed to general practitioners and completed by all patients who visited them for any reason during a three-month period. In the second phase, positive responders were examined by trained primary care neurologists. Finally, the diagnosis was confirmed or excluded by a movement disorders specialist. Results: The overall prevalence in the population older than 50 years of age was 2.8% (95% CI: 2.2-3.4); the prevalence in the population from 50 to 64 years was 1.9% (95% CI: 1.2-2.5), and it was 4.06% (95% CI: 2.9-5.1) in the population over 65 years of age. Three large families with an autosomal-dominant inheritance patterns of parkinsonism were identified. Conclusions: The prevalence rates were surprisingly high; they substantially differed from the published prevalence rates in other European countries. Due to the characteristics of the region, we expected a particular impact of genetic factors, most probably the autosomal-dominant inheritance of parkinsonism. Our current research focusses on the genetic background and DNA analysis of probands from the families in which autosomal-dominant parkinsonism was identified.
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