Friday 6 June 2008

Parkinson’s disease



→Difficulty to start walking
→Quick shuffling gate with no arm swinging
→Difficulty to turn back

→Has expressionless face
→Low volume monotonus speech
→Has drooling
→There is titubation

→Pill rolling tremor
→Bradykinisia
→The arms showed lead-pipe rigidity at the elbow
Cog-weal rigidity at the wrist

→Gabellar tap is positive (Myerson’s sign)
→Signs are generally asymmetrical
→Hand writing show micrograghia

what comprise Parkinson's syndrome?
what are the causes of Parkinson's syndrome?
what do you know about Parkinson's plus syndromes?
talk about treatment and management.



NICE guidlines June 2006

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