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New horizons in Parkinson's disease in older populations

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The RAB32 p.Ser71Arg Variant in Parkinsonisms: Insights from a Large Italian Cohort

A study of 4,600 Italian patients with Parkinson's disease or atypical parkinsonism identified 20 new carriers of the RAB32 p.Ser71Arg variant, which was associated with earlier disease onset (average 51 years) and good response to dopaminergic therapy. Carriers showed positive family history in 55.5% of cases, suggesting dominant inheritance patterns, with generally preserved cognitive function and mild psychiatric symptoms.

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Consensus practice recommendations for management of gastrointestinal dysfunction in Parkinson disease

This expert consensus document provides evidence-based clinical guidance on screening, diagnosis, and treatment of gastrointestinal dysfunction in Parkinson disease, a common non-motor symptom that can precede motor symptoms and significantly impact quality of life. Recommendations are organized by anatomical segments (oral cavity, esophagus, stomach, small intestine, colon) based on a modified Delphi panel approach involving movement disorder neurologists and gastroenterologists.

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Methamphetamine Use and Parkinson's Disease Risk: Clinical Recognition in Substance Users

Epidemiological and animal evidence indicates methamphetamine use significantly increases risk for Parkinson's disease and parkinsonism, potentially with earlier onset. Despite elevated prevalence in methamphetamine users, diagnosis is often missed due to under-detection, competing mortality risks, and confounding substance use patterns; clinicians should maintain vigilance for parkinsonian symptoms in this population.