Cerebrospinal fluid biomarkers in parkinsonian conditions: an update and future directions

J Neurol Neurosurg Psychiatry. 2014 Oct;85(10):1065-75. doi: 10.1136/jnnp-2013-307539. Epub 2014 Apr 1.

Abstract

Parkinsonian diseases comprise a heterogeneous group of neurodegenerative disorders, which show significant clinical and pathological overlap. Accurate diagnosis still largely relies on clinical acumen; pathological diagnosis remains the gold standard. There is an urgent need for biomarkers to diagnose parkinsonian disorders, particularly in the early stages when diagnosis is most difficult. In this review, several of the most promising cerebrospinal fluid candidate markers will be discussed. Their strengths and limitations will be considered together with future developments in the field.

Keywords: CSF; Corticobasal Degeneration; Multiple System Atrophy; Parkinson's Disease; Progressive Supranuclear Palsy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biomarkers / cerebrospinal fluid
  • Early Diagnosis
  • Humans
  • Nerve Tissue Proteins / cerebrospinal fluid*
  • Parkinsonian Disorders / cerebrospinal fluid*
  • Parkinsonian Disorders / diagnosis*

Substances

  • Biomarkers
  • Nerve Tissue Proteins