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Parkinson's disease
Parkinson's disease is a common neurodegenerative disease that causes slowed movements, tremor, rigidity, and a wide variety of other symptoms. Normally it's a disease of elderly. After Alzheimer's disease, it is the most common neurodegenerative diseases. Typically its beginning is in 60s and 70s. Neurodegenerative means the degeneration, or death, of neurons. Neuron is a type of cell in the brain and it is the basis for all brain activity.
How
it
occurs?
This
chronic
disease
occurs
when
neurons
in
substantia
nigra,
a
part
of
the
brain,
degenerate
or
die
off.
This
will
affect
brain's
normal
control
of
movement.
Once
a
person's
brain
loss
normal
control
of
movement,
he
will
experience
slowed
movements,
stiffness
or
rigidity,
and
tremor
Presently
there
is
no
cure
for
this
cause
unknown
disease.
But,
it
is
possible
to
manage
the
symptoms
by
medication
and
surgery.
Diagnosis
Careful
neurological
examination,
testing
movements,
coordination,
reflexes,
and
other
aspects
of
function
can
diagnose
Parkinson's
disease.
Unilateral
(one-sided)
tremor,
slowed
movements,
and
muscle
stiffness
are
pre-cursor
to
the
disease.
Imaging
of
the
brain
with
magnetic
resource
imaging
(MRI)
and
positron
emission
tomography
(PET)
are
specializes
test
used
for
the
diagnosis.
Symptoms
- Tremor of the hands, arms, legs, jaw and face
- Rigidity or stiffness of the limbs and trunk
- Bradykinesia or slowness of movement
- Postural instability or impaired balance and coordination
- Orthostatic hypotension, or loss of blood pressure upon standing, which can cause dizziness and fainting
- Painful foot cramps
- Micrographic, or reduced size of handwriting
- Reduced voice volume
- Reduced facial expression
- Excessive sweating
- Constipation
- Decreased ability to smell
- Male impotence
- Drooling
- Sleep disturbance
- Depression
- Anxiety
- Panic attacks
- Late-stage dementia
The treatment of the symptoms of Parkinson's disease is very complex. The peculiarity of this disease is that it is getting worse over time. So the early treatment may not be sufficient later on. Drugs used for the treatment have side effects. Some time these side effects go beyond control.
Levopoda is the most powerful treatment for the Parkinson's disease. It is taken into the brain and substitutes for the dopamine. Dopamine agonists are another treatment, which is similar to Levopoda in effect. Dopamine agonists, selegiline and amantadine are other medications, which are not so powerful.
In late stage of Parkinson's disease, brain surgery is done. Only persons who respond to levodopa are selected for the surgery. Patients with Dementia or other significant health-related conditions are not fit for the surgery.
Brain surgery is of two types.
- Ablative lesions: Destroys a small portion of the brain and restores the balance of neural activity within the movement control circuits of the brain. This form of surgery is very simple less prone to long-term complications
- Deep brain stimulation (DBS): implants an electrode in the target brain region. This is more complex and expensive. But this surgery enhances the surgical effects.
Disclaimer: The information provided in this article is for general informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or a qualified healthcare provider with any questions you may have regarding a medical condition.



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