Chapter 21 Flashcards
2 types of Hypokinetic-rigid syndrome
- Parkinson’s disease
2. Atypical forms of parkinsonism
Motor symptoms of Parkinson’s
- Lack of movement/slowness
- Rigidity
- Rest tremor
- Postural instability
Non-motor symptoms for Parkinson’s
- Fatigue
- Hyposmia (disturbed sense of smell)
- Autonomic disorders
- Sleep disorders
- Affective disorders
- Apathy
- Cognitive impairments
- Psychoses
Diagnosis of Parkinson
Bradykinesia plus one of the following:
Rigidity, rest tremor, and/or postural instability
Parkinson’s subtypes
- Tremor-dominant
- Hypokinetic-rigid subtypes
- Balance problems
Parkinson’s prevalence
0.238%
Unified Parkinson’s Disease Rating Scale
Multidimensional scale consisting of 6 sections. Also contains Hoehn and Yahr scale
Hoehn and Yahr Scale
5 stages for measuring severity of Parkinson’s Disease
Etiology of Parkinson’s
Loss of pigmentation. Degeneration of dopamine-producing neurons in the compact part of the substantia nigra.
Medication to treat Parkinson’s
- Levodopa
- Dopamine agonists
- Muscle relaxants
Side effects of anti-Parkinson’s drugs
- Narcolepsy
- Confusion
- Dementia
Other treatments for Parkinson’s
- Brain surgery
- Deep-brain stimulation
- Paramedical care
Cognitive impairments in Parkinson’s
- Executive functions
- Attention
- Mental speed
- Memory
- Processing of emotional information
Diagnosis of Parkinson’s disease dementia
- Diagnosis with Parkinson’s
- Cognitive impairments are progressive
- Cognitive impairments interfere with daily functioning
- Impairments are present in two of the following: memory, attention, exec. functions and visuospatial functions
Mood and behavioural impairments with Parkinson’s
- Anxiety (40-50%)
- Depression (35-70%)
- Apathy
- Psychotic behaviour