Understanding Parkinson’s Disease: Symptoms and Causes
Parkinsonism.
Answer:
Parkinsonism Synonyms:
- Parkinson’s disease
- Paralysis agitans
- Shaking plasy.
- It is named after discoverer James Parkinson.
Parkinsonism Causes:
- Damage to basal ganglia.
- Viral infection of brain.
- Cerebral arteriosclerosis.
- Degeneration of dopaminergic nigrostriatal tract.
- Unknown cause called idiopathic parkinsonism.
Parkinsonism Features:
Age: Late middle age.
1. Rigidity:
- Affects mainly large proximal groups of muscles of limbs.
- Statue like state is produced.
- Limbs becomes more rigidity like pillars.
- This condition is called lead pipe rigidity.
2. Tremors:
- It consists of regular, rhythmic, alternate contraction of antagonist and agonist muscle.
- In parkinsonism, tremors occurs during rest thus called resting tremor.
- It increases in emotional states, anxiety, etc over first two fingers.
- This is known as “Pill-rolling” movement.
3. Akinesia and hypokinesia:
- Patient is unable to initial voluntary movements called akinesia. Hypokinesia means reduced voluntary movements.
4. Slow and monotonous speech.
5. Poverty of movements.
- It leads to
- Mask – like face
- Loss of normal subconscious associated movements.
- Shuffling gait patient walks quickly in short.
- Steps by bending forward.
6. Emotional changes:
- Patients are often emotionally upset.
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