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- Title
Investigating the Relationship between Chronic Liver Cirrhosis and Parkinsonism: A Comparative Analysis and a Suggested Diagnostic Scheme.
- Authors
Sigawi, Tal; Hamtzany, Omer; Hurvitz, Noa; Ishay, Yuval; Dayan, Roy; Arkadir, David; Ilan, Yaron
- Abstract
Aim: Neurological manifestations are common in patients with chronic liver diseases. This study aimed to depict the association between liver cirrhosis and Parkinson's disease (PD) and propose a clinically relevant diagnostic scheme. Methods: We examined patients' medical records with PD and chronic liver impairment secondary to cirrhosis or liver metastases for temporal correlations between liver insult and Parkinsonian signs. Results: Thirty-five individuals with PD and chronic liver impairment were included due to either cirrhosis or liver metastases. In all 22 patients with PD and liver metastases, the diagnosis of PD preceded the diagnosis of cancer. Conversely, patients with cirrhosis were often diagnosed with liver impairment before diagnosing PD. Age at diagnosis did not account for this difference. Conclusions: This study reinforces the potential clinical association between cirrhosis and PD. We also provide a diagnostic scheme that may guide therapeutic interventions and prognostic assessments.
- Subjects
PARKINSON'S disease; CIRRHOSIS of the liver; LIVER failure; BASAL ganglia; CHRONICALLY ill
- Publication
Clinics & Practice, 2024, Vol 14, Issue 4, p1375
- ISSN
2039-7283
- Publication type
Article
- DOI
10.3390/clinpract14040110