Parkinson's disease
Parkinson's disease | |
---|---|
Other names | Parkinson disease, idiopathic anaa primary parkinsonism, hypokinetic rigid syndrome, paralysis agitans, shaking palsy |
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Illustration of Parkinson's disease by William Richard Gowers, dem first publish insyd A Manual of Diseases of the Nervous System (1886) | |
Specialty | Neurology |
Symptoms | Shaking, rigidity, slowness of movement, difficulty walking |
Usual onset | Age over 60 |
Causes | Unknown |
Risk factors | Pesticide exposure, head injuries |
Diagnostic method | Based for symptoms top |
Differential diagnosis | Dementia plus Lewy bodies, progressive supranuclear palsy, essential tremor, antipsychotic use[1] |
Treatment | Exercise, medications, surgery |
Medication | L-DOPA, dopamine agonist |
Prognosis | Life expectancy ~ 15 years[2] |
Frequency | 6.2 million (2015) |
Deaths | 117,400 (2015) |
Parkinson's disease (PD), anaa simply Parkinson's, be a neurodegenerative disease primarily of de central nervous system, wey dey affect both motor den non-motor systems. Symptoms typically dey develop gradually, plus non-motor issues wey cam turn more prevalent as de disease dey progress. De motor symptoms be collectively called parkinsonism den dey include tremors, bradykinesia, rigidity as well as postural instability (i.e., difficulty maintaining balance). Non-motor symptoms dey develop later insyd de disease den dey include behavioral changes anaa neuropsychiatric problems such as sleep abnormalities, psychosis, den mood swings.
Chaw Parkinson's disease cases be sporadic, though dem identify factors wey dey contribute. Pathophysiology dey involve progressive degeneration of nerve cells insyd de substantia nigra, a midbrain region wey dey provide dopamine to de basal ganglia, a system wey involve insyd voluntary motor control. De cause of dis cell death be poorly understood buh e dey involve de aggregation of alpha-synuclein into Lewy bodies within neurons. Oda potential factors dey involve genetic den environmental influences, medications, lifestyle, den prior health conditions.
Diagnosis primarily dey base for signs and symptoms top, typically motor-related, identified thru neurological examination. Medical imaging techniques like positron emission tomography fi support de diagnosis. Parkinson's typically dey manifest insyd individuals over 60, plus about one percent wey be affect. Insyd those younger dan 50, e be termed "early-onset PD".
References
[edit | edit source]- ↑ Ferri FF (2010). Ferri's differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (2nd ed.). Philadelphia, PA: Elsevier/Mosby. p. Chapter P. ISBN 978-0323076999.
- ↑ Golbe LI, Leyton CE (November 2018). "Life expectancy in Parkinson disease". Neurology (Editorial). 91 (22): 991–992. doi:10.1212/WNL.0000000000006560. PMID 30381371.
External links
[edit | edit source]Works dem cite
[edit | edit source]Books
[edit | edit source]- Bhattacharyya KB (2017). "Chapter One – Hallmarks of Clinical Aspects of Parkinson's Disease Through Centuries". In Bhatia KP, Chaudhuri KR, Stamelou M (eds.). Parkinson's Disease. International Review of Neurobiology. pp. 1–23.
- Bernat, James L.; Beresford, Richard (2013). Ethical and Legal Issues in Neurology (in English). Newnes. ISBN 978-0-444-53504-7.
- Ferri FF (2010). "Chapter P". Ferri's differential diagnosis: a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (2nd ed.). Elsevier/Mosby. ISBN 978-0-3230-7699-9.
- Lanska DJ (2010). "Chapter 33: The history of movement disorders". Handbook of Clinical Neurology. 3. Vol. 95. History of Neurology. pp. 501–546. doi:10.1016/S0072-9752(08)02133-7. ISBN 978-0-444-52009-8. PMID 19892136.
- O'Sullivan SB, Schmitz TJ (2007). "Parkinson's Disease". Physical Rehabilitation (5th ed.). F.A. Davis. ISBN 978-0-8036-1247-1.
- Simon RP, Greenberg D, Aminoff MJ (2017). Lange Clinical Neurology (10th ed.). McGraw-Hill. ISBN 978-1-2598-6172-7.
- Stoker TB, Greenland JC, eds. (December 2018). Parkinson's Disease: Pathogenesis and Clinical Aspects. Codon Publications. ISBN 978-0-9944-3816-4.
- Greenland JC, Barker RA (2018). "Chapter 6: The Differential Diagnosis of Parkinson's Disease". In Stoker TB, Greenland JC (eds.). Parkinson's disease: Pathogenesis and Clinical Aspects. Codon Publications. pp. 109–128. doi:10.15586/codonpublications.parkinsonsdisease.2018.ch6. ISBN 978-0-9944-3816-4. PMID 30702839. S2CID 80908095.
- The National Collaborating Centre for Chronic Conditions, ed. (2006). "Non-motor features of Parkinson's disease". Parkinson's Disease. London: Royal College of Physicians. pp. 113–133. ISBN 978-1-8601-6283-1. Archived from the original on 24 September 2010.
Journal articles
[edit | edit source]- Aarslanda D, Krambergera MG (2015). "Neuropsychiatric Symptoms in Parkinson's Disease". Journal of Personalized Medicine. 5 (3): 659–667. doi:10.3233/JPD-150604. PMID 26406147.
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