Doctor insights on:
Symptoms Of Parkinson's Disease In Men
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
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
I may have some symptoms of parkinson disease; is it possible that some medication cause symptoms like these?
Possibly: There are a number of medications with side-effects that mimc parkinson disease. Reglan and Compazine are very common examples. Similarly, a number of anti-psychotic and mood stabilizing medications can do so, as well...E.G. Haldol, risperdal, abilify (aripiprazole)...There are very many...Even Depakote can, through a different mechanism...And, less commonly, ssri's, such a Paxil and Prozac (and others)... ...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
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
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 moreSee 2 more doctor answers
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
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