{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T01:12:51Z","timestamp":1771549971712,"version":"3.50.1"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"abstract":"Zusammenfassung<\/jats:title>\n Seit 2023 kann in Deutschland eine neue Berufskrankheit (BK) \u201eParkinson-Syndrom\n durch Pestizide\u201c durch die gesetzliche Unfallversicherung anerkannt werden. Dazu\n muss gutachtlich ein \u201eprim\u00e4res Parkinson-Syndrom\u201c festgestellt werden und der\n Parkinsonismus darf nicht Folge einer anderen Erkrankung sein. Zudem muss eine\n beruflich bedingte Exposition gegen\u00fcber Pestiziden, d.h. Fungiziden,\n Insektiziden oder Herbiziden stattgefunden haben, und zwar an mindestens 100\n Anwendungstagen innerhalb einer Funktionsgruppe (Insektizide, Herbizide,\n Fungizide). Der vorliegende Artikel gibt eine Hilfestellung zur korrekten\n Diagnosestellung sowie zu differenzialdiagnostischen Erw\u00e4gungen, die bei der\n Begutachtung ber\u00fccksichtigt werden m\u00fcssen.<\/jats:p>","DOI":"10.1055\/a-2791-7896","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:25:41Z","timestamp":1771547141000},"source":"Crossref","is-referenced-by-count":0,"title":["Begutachtung der Parkinson-Krankheit als\n Berufskrankheit"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0034-4607","authenticated-orcid":false,"given":"Jens D.","family":"Rollnik","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr neurorehabilitative Forschung (InFo), Assoziiertes\n Institut der Medizinischen Hochschule Hannover, BDH-Klinik Hess. Oldendorf\n gGmbH, Hessisch Oldendorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"ref3","first-page":"e13070","article-title":"Parkinson disease \u2013 Prevalence, trends and regional patterns in Germany. An\n analysis based on routine data from the statutory health insurance","volume":"10","author":"A Rommel","year":"2025","journal-title":"J Health Monit"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1002\/mds.26424","article-title":"MDS clinical diagnostic criteria for Parkinson\u2019s disease","volume":"30","author":"R B Postuma","year":"2015","journal-title":"Mov Disord"},{"key":"ref7","first-page":"27","article-title":"Morbus Parkinson: Wege zur Fr\u00fchdiagnose","volume":"117","author":"F Hopfner","year":"2020","journal-title":"Dtsch Arztebl"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1002\/mds.22340","article-title":"Movement Disorder Society-sponsored revision of the Unified Parkinson\u2019s Disease\n Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing\n results","volume":"23","author":"C G Goetz","year":"2008","journal-title":"Mov Disord"},{"key":"ref9","first-page":"225","article-title":"Differenzialdiagnose und Therapie des Tremors","volume":"111","author":"K B\u00f6tzel","year":"2014","journal-title":"Dtsch Arztebl Int"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"371","DOI":"10.7861\/clinmedicine.16-4-371","article-title":"Imaging in Parkinson\u2019s disease","volume":"16","author":"G Pagano","year":"2016","journal-title":"Clin Med (Lond)"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s12940-020-00624-8","article-title":"S, P Socal M et al. Occupational pesticide exposure and the risk of death in\n patients with Parkinson's disease: an observational study in southern\n Brazil","volume":"19","author":"M Schneider Medeiros","year":"2020","journal-title":"Environ Health"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.envint.2017.04.010","article-title":"Occupational pesticide use and Parkinson\u2019s disease in the Parkinson Environment\n Gene (PEG) study","volume":"107","author":"S Narayan","year":"2017","journal-title":"Environ Int"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s12035-014-9057-2","article-title":"Fenpropathrin, a Widely Used Pesticide, Causes Dopaminergic Degeneration","volume":"53","author":"J Xiong","year":"2016","journal-title":"Mol Neurobiol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3390\/ijerph16030337","article-title":"Occupational Exposures and Neurodegenerative Diseases-A Systematic Literature\n Review and Meta-Analyses","volume":"16","author":"L G Gunnarsson","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"7102","DOI":"10.3390\/ijms25137102","article-title":"GBA1-Associated Parkinson's Disease Is a Distinct Entity","volume":"25","author":"A Skrahin","year":"2024","journal-title":"Int J Mol Sci"},{"key":"ref17","first-page":"31","volume-title":"Kausalit\u00e4ts- und Beweisregeln. In: Widder N, Gaidzik PW (Hrsg.) Begutachtung in\n der Neurologie","author":"P W Gaidzik","year":"2011"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.mcp.2016.11.001","article-title":"Genetics of Parkinson\u2019s disease","volume":"30","author":"C M Lill","year":"2016","journal-title":"Mol Cell Probes"}],"container-title":["Fortschritte der Neurologie \u00b7 Psychiatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2791-7896.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:25:43Z","timestamp":1771547143000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2791-7896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,19]]},"references-count":13,"URL":"https:\/\/doi.org\/10.1055\/a-2791-7896","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0720-4299","1439-3522"],"issn-type":[{"value":"0720-4299","type":"print"},{"value":"1439-3522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,19]]}}}