Doctor insights on:
Parkinson Disease Produces Dementia As Well As
Sort Of: At this time there are no medications specifically indicated for parkinson's dementia. I have used the current medications that are used for alzheimer's dementia as these are available. Coping mechanisms are the same for all dementia. Treat the brain as though it is a muscle and keep it exercised regularly. Stimulation like reading, playing cards, puzzles, and games. Also, physical exercise. ...Read more
Parkinson Disease: There are a number of medications available for Parkinson disease but see which might be best for the patient you need to have a consultation with a neurologist who deals with this disorder - this physician can best assess which would be the best medication. ...Read more
Complicated: With the earliest symptoms, best approach is Dopamine agonist (mirapex, requip), later l-dopa, which remains fundamental, and maybe Azilect for potential protection. As the l-dopa becomes less efficacious, comtan, (entacapone) and even later combinations of all of the above, and if inadequate, use of deep brain stimulation. ...Read more
Secondary Parkinson': This condition may be caused from heavy metal intoxications, medications such as anti-psychotics or related to a neurodegenerative condition "multi-systems atrophy (msa). Msa may be associated with blood pressure changes, rigity, tremor, deficits in upgaze and cognitive disorders. Pls see a neurologist for further info. ...Read more
Numerous ITEMS: We have the anti-cholinergics like artane, but not used much these days, Dopamine agonists such as mirapex, requip, Neupro (rotigotine) patch. L-dopa with or without carbi-dopa, and maybe later entacapone. Azilect may be neuroprotective. The dbs unit could provide surgical support. ...Read more
Causes of PD: Parkinson's disease involves depletion of a neurotransmitter in the part of the brain called the substantia nigra. The precise mechanisms of neurodegeneration in pd are unknown. There is believed to be an interaction between genetic and environmental factors, abnormalities in protein processing, oxidative stress, mitochondrial dysfunction, and others. ...Read more
Dx of Parkinson's: Usually onset of sx's in late 50-60's in patients. They develope a resting pin- rolling tremor, masked facies, rigidity and slowing down of movements. They may also have postural instability and gait difficulties. Pls see an neurologist to be sure the condition is not "parkinsonism"related to medication, possible normopressure hydrocephalus or a stroke or brain mass. ...Read more
GRADUAL IMPACT: It is very debiltating if not treated, and gradullay declines the capacity for self care, but early diagnosis and treatment, may help some, especially having knowledge about it. ...Read more
Parkinson's disease: The reason or cause for parkinson's disease is unknown. The disease arises from a progressive loss of Dopamine producing neurons or nerve cells in the substantia nigra in the midbrain portion of the brain. The initial treatments are oral medications followed by surgical options to treat the symptoms of tremor, rigidity and slowness of movement. ...Read more
Depends on yourself: Many factors to assess before deciding whether it's best for a patient to take medication for their Parkinson's right away or wait. That's something you should discuss with your doctor. Medications for Parkinson's have side effects to be sure but they also can improve the quality of life tremendously in some people. You can also engage in regular EXERCISE (not just physical therapy) which helps. ...Read more
Meds First, then DBS: As a pd specialist I always try to get the most utility from medications first. The typical choics are (in order of preference): azilect, agonists (requip xl, Mirapex er & neupro-available july 16), then sinemet & last comtan (entacapone). If despite all these, symptom relief/qol is poor, dbs of stn or gpi ate favored & are very effective @ reducing inconsistent medication effect (. ...Read more
Not one: Believe it or not, the va has excellent centers for veterans. There are a number of great centers around the country, I would not say that one is better than the other. From where you live, I am sure that there are some exceptional movement disorders programs in philadelphia. Johns hopkins? ...Read more
No-Neurodegenerative: There are patients with parkinson diseaes who get dementia. There are many patients who get bradyphrenia, which means a slowness of processing information. Many, many patients get depression. Overall, however, we do not consider it a mental illness. It is a degenerative neurological movement disorder. ...Read more
Treatment options: Many treatment options are available including dopamine agonists, deep brain stimulation, etc. There is a lot of active research in the field and new findings are being made each day. See a neurologist (specifically a neurology movement disorders subspecialist) for discussion. Http://www. Nlm. Nih. Gov/medlineplus/parkinsonsdisease. Html ...Read more
What can I do if my dad has parkinson disease and I'm very curious. How can you distinguish it really?
Motor Symptoms below:
There are various symptoms, but some of the most common are:
resting tremor--this is a tremor that is worse when the patient's limb is resting, and it disappears when he moves it.
Rigidity--the arm is stiffer than normal.
Note that the above symptoms are usually asymmetrical, particularly at the start of the disease. There may be reduced armswing when walking. There may be a general slowness. ...Read more
What are the treatments for parkinson disease and what will be the medical cost for rest of life?
Dopamine + Exercise!: Dopamine meds including (best to worst, in my opinion): azilect, Requip xl/neupro/mirapex er, sinemet & comtan (entacapone). Dbs surgery for advanced patients. Cost likely $300-1000 monthly for life. More generics becoming available these days thankfully! Exercise also critical to maximize physical well-being & avoid falls & injury. Meds lift the burden of symptoms, but they won't turn you into bruce jenner! ...Read more
Parkinson disease a person with parkinson disease in stage of losing ability of speaking. Is there any device that may help the person to be able to communicate? I don't have much information about his symptoms since I've not seen him for a long time, but
See a specialist: Advanced parkinson's disease can be hall engine. Work with a specialist in this area. ...Read more
Many possibilities: Physical symptoms: resting tremor, slow movements, rigidity (stiffness) of muscles & posture. Causing slow walking, masked face, decreased blink rate, softer/mumbled speech, poor hand agility, small handwriting, potential falls & injury. Non-physical symptoms: cognitive decline, hallucinations/delusions, anxiety/depression, insomnia, sleepiness/fatigue, constipation, low bp, erectile dysfunction. ...Read more
Many are available:
There are numerous drugs and treatments available.
Consult with a neurologist to review your medical condition and get started on the correct road to control. ...Read more
Parkinson's: Parkinson's disease is a degenerative disease of the basal ganglia. As a degenerative disease, different areas of the brain die at different times which causes asymmetry of symptoms. ...Read more
Slow progression: These symptoms typically involve resting tremor, slowness of body movements & rigidity of muscles & posture. They always begin on one side, then effect the midline (face, voice & balance, & finally do spread to involve the other side. Early pre-motor symptoms include: rbd (acting out dreams while sleeping), anosmia (loss of smell), constipation & depression. Also, slow mental clarity/st memory. ...Read more
Slows gait: Parkinson's slows movements and makes steps smaller. There are also balance difficulties and increased falls. Posture is often bent forward though there is a tendency to fall backwards known as retropulsion. These problems can be mild early on in the illness but can be debilitating if you have had the disease for a number of years. ...Read more
Varies: This may vary depending on the severity of the parkinson's disease and also the response to medications. There are some who may have a minor tremor that is well controlled by medications. There are some that may have severe on/off problems that are debilitating and affect daily living. There are new surgical techniques (deep brain stimulation) that have a lot of promise in alleviating symptoms. ...Read more
No remedies (cures): Parkinson's disease is unfortunately a progressive neurological disorder for which there is no remedy or cure at this time. However, there are many options for treatment, and with proper management of medications, exercise and other treatments patients can often do well for many years. ...Read more