Management of Parkinson’s disease (PD) is complicated due to its progressive nature, the individual patient heterogeneity, and the wide range of signs, symptoms, and daily activities that are increasingly affected over its course. The last 10–15 years have seen great progress in the identification, evaluation, and management of PD, particularly in the advanced stages. Highly specialized information can be found in the scientific literature, but updates do not always reach general neurologists in a practical and useful way, potentially creating gaps in knowledge of PD between them and neurologists subspecialized in movement disorders, resulting in several unmet patient needs. However, general neurologists remain instrumental in diagnosis and routine management of PD. This review provides updated practical information to identify problems and resolve common issues, particularly when the advanced stage is suspected. Some tips are provided for efficient communication with the members of a healthcare team specialized in movement disorders, in order to find support at any stage of the disease in a given patient, and especially for a well-timed decision on referral.

中文翻译：

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普通神经科医生的帕金森氏病管理最新情况。

帕金森氏病（PD）的治疗因其进行性，个体患者异质性以及在病程中日益受到影响的各种体征，症状和日常活动而变得复杂。在过去的10到15年中，PD的识别​​，评估和管理取得了很大的进步，尤其是在后期阶段。在科学文献中可以找到高度专业化的信息，但是更新并不总是以实用和有用的方式传达给普通神经科医师，这可能会导致他们与运动异常专科的神经科医师之间在PD知识上的差距，从而导致患者的一些需求未得到满足。但是，一般的神经科医生仍在PD的诊断和常规管理中发挥作用。这篇综述提供了更新的实用信息，以识别问题和解决常见问题，尤其是在怀疑处于高级阶段时。提供了一些技巧，可以与专门从事运动障碍的医疗团队成员进行有效的沟通，以便在疾病的任何阶段获得特定患者的支持，尤其是在转诊时做出及时决定。