Demographic Data |
Relation to Proband |
proband |
Age at Sampling |
54 YR |
Gender |
Female |
Age of Onset(If not a control) |
38 YR |
Age at Diagnosis(If not a control) |
No Data |
Hispanic or Latino/Not Hispanic or Latino |
not yet reported |
Racial Category |
White |
Country |
USA |
Diagnosed By |
No Data |
|
Data Elements |
Clinical Element Type: Parkinsonism |
(Baseline) |
Longitudinal Data |
Is this data Longitudinal (Follow-Up) Data? |
yes no |
Family History |
Family history of parkinsonism |
present absent unknown (subject adopted) Notes: BROTHER, MOTHER, PATERNAL COUSIN |
Specific diagnosis |
Parkinsonism clinical diagnosis |
Parkinson's disease Progressive Supranuclear Palsy Diffuse Lewy Body Disease Multiple System Atrophy Others Unaffected primary blood relative of proband
|
Genetic Data of Subject |
Mutation/s in subject's DNA (if present, describe) |
present absent unknown |
Signs suggestive of PD diagnosis |
Asymmetric onset |
present absent |
Bradykinesis |
present absent |
Activation tremor |
present absent |
Resting Tremor |
present absent |
Postural Instability |
present absent |
Rigidity |
present absent |
Gait difficulties |
present absent |
Response to Anti-Parkinsonism Therapy |
tried and responsive inadequate dose not tried/not given tested and unresponsive |
Signs suggestive of another diagnosis |
history of strokes or stepwise deterioration |
present absent |
history of head injury with loss of consciousness |
present absent |
history of encephalitis |
present absent |
Oculogyric crisis |
present absent |
neuroleptic treatment at time of symptom onset |
present absent |
sustained remission |
present absent |
gaze palsy |
present absent |
Cerebellar signs (other than activation tremor) |
present absent |
Fluctuations |
present absent |
hallucinations |
present absent |
dysautonomia |
present absent |
Memory loss |
present absent |
axial rigidity |
present absent |
Other |
present absent |
Smoking History |
smoking history |
No Data |
years smoking |
No Data |
Optional data |
Mini-mental status score |
No Data |
Hoehn and Yahr |
No Data |
UPDRS total motor score |
No Data |
Handedness |
No Data |
Clinical Element Type: Parkinsonism |
(Longitudinal, Series #2) |
Longitudinal Data |
Is this data Longitudinal (Follow-Up) Data? |
yes no |
Family History |
Family history of parkinsonism |
present absent unknown (subject adopted) Notes: BROTHER, MOTHER, 2 MAT COUSINS |
Specific diagnosis |
Parkinsonism clinical diagnosis |
Parkinson's disease Progressive Supranuclear Palsy Diffuse Lewy Body Disease Multiple System Atrophy Others Unaffected primary blood relative of proband
|
Genetic Data of Subject |
Mutation/s in subject's DNA (if present, describe) |
present absent unknown |
Signs suggestive of PD diagnosis |
Asymmetric onset |
present absent |
Bradykinesis |
present absent |
Activation tremor |
present absent |
Resting Tremor |
present absent |
Postural Instability |
present absent |
Rigidity |
present absent |
Gait difficulties |
present absent |
Response to Anti-Parkinsonism Therapy |
tried and responsive inadequate dose not tried/not given tested and unresponsive |
Signs suggestive of another diagnosis |
history of strokes or stepwise deterioration |
present absent |
history of head injury with loss of consciousness |
present absent |
history of encephalitis |
present absent |
Oculogyric crisis |
present absent |
neuroleptic treatment at time of symptom onset |
No Data |
sustained remission |
present absent |
gaze palsy |
present absent |
Cerebellar signs (other than activation tremor) |
present absent |
Fluctuations |
No Data |
hallucinations |
present absent |
dysautonomia |
No Data |
Memory loss |
present absent |
axial rigidity |
No Data |
Other |
present absent |
Smoking History |
smoking history |
never former smoker current smoker |
years smoking |
No Data |
Optional data |
Mini-mental status score |
30 |
Hoehn and Yahr |
2 |
UPDRS total motor score |
No Data Notes: 25 |
Handedness |
Right Left Ambidextrous |
Clinical Element Type: Parkinsonism |
(Longitudinal, Series #3) |
Longitudinal Data |
Is this data Longitudinal (Follow-Up) Data? |
yes no |
Family History |
Family history of parkinsonism |
present absent unknown (subject adopted) Notes: MATERNAL UNCLE, BROTHER WITH PD, MATERNA GREAT AUNT "SHAKING PALSY" |
Specific diagnosis |
Parkinsonism clinical diagnosis |
Parkinson's disease Progressive Supranuclear Palsy Diffuse Lewy Body Disease Multiple System Atrophy Others Unaffected primary blood relative of proband
|
Genetic Data of Subject |
Mutation/s in subject's DNA (if present, describe) |
present absent unknown |
Signs suggestive of PD diagnosis |
Asymmetric onset |
present absent |
Bradykinesis |
present absent |
Activation tremor |
present absent |
Resting Tremor |
present absent |
Postural Instability |
present absent |
Rigidity |
present absent |
Gait difficulties |
present absent |
Response to Anti-Parkinsonism Therapy |
tried and responsive inadequate dose not tried/not given tested and unresponsive |
Signs suggestive of another diagnosis |
history of strokes or stepwise deterioration |
present absent |
history of head injury with loss of consciousness |
present absent |
history of encephalitis |
present absent |
Oculogyric crisis |
present absent |
neuroleptic treatment at time of symptom onset |
present absent |
sustained remission |
present absent |
gaze palsy |
present absent |
Cerebellar signs (other than activation tremor) |
present absent |
Fluctuations |
present absent |
hallucinations |
present absent |
dysautonomia |
present absent |
Memory loss |
present absent |
axial rigidity |
present absent |
Other |
present absent Notes: SWEATING |
Smoking History |
smoking history |
never former smoker current smoker |
years smoking |
No Data |
Optional data |
Mini-mental status score |
29 |
Hoehn and Yahr |
2.0 |
UPDRS total motor score |
on off Notes: 16 |
Handedness |
Right Left Ambidextrous |
Clinical Element Type: Parkinsonism |
(Longitudinal, Series #4) |
Longitudinal Data |
Is this data Longitudinal (Follow-Up) Data? |
yes no |
Family History |
Family history of parkinsonism |
present absent unknown (subject adopted) Notes: BROTHER, MATERNAL UNCLE & COUSIN, PATERNAL AUNT |
Specific diagnosis |
Parkinsonism clinical diagnosis |
Parkinson's disease Progressive Supranuclear Palsy Diffuse Lewy Body Disease Multiple System Atrophy Others Unaffected primary blood relative of proband
|
Genetic Data of Subject |
Mutation/s in subject's DNA (if present, describe) |
present absent unknown |
Signs suggestive of PD diagnosis |
Asymmetric onset |
present absent |
Bradykinesis |
present absent |
Activation tremor |
present absent |
Resting Tremor |
present absent |
Postural Instability |
present absent |
Rigidity |
present absent |
Gait difficulties |
present absent |
Response to Anti-Parkinsonism Therapy |
tried and responsive inadequate dose not tried/not given tested and unresponsive |
Signs suggestive of another diagnosis |
history of strokes or stepwise deterioration |
present absent |
history of head injury with loss of consciousness |
present absent |
history of encephalitis |
present absent |
Oculogyric crisis |
present absent |
neuroleptic treatment at time of symptom onset |
present absent |
sustained remission |
present absent |
gaze palsy |
present absent |
Cerebellar signs (other than activation tremor) |
present absent |
Fluctuations |
present absent |
hallucinations |
present absent |
dysautonomia |
present absent |
Memory loss |
present absent |
axial rigidity |
present absent |
Other |
present absent |
Smoking History |
smoking history |
never former smoker current smoker |
years smoking |
No Data |
Optional data |
Mini-mental status score |
30 |
Hoehn and Yahr |
2 |
UPDRS total motor score |
on off Notes: 10 |
Handedness |
Right Left Ambidextrous |