Parkinson's Disease: features Flashcards
1
Q
What is the classic triad of symptoms in Parkinson’s disease?
A
- Bradykinesia
- Tremor
- Rigidity
2
Q
Are the features of Parkinson’s symmetrical or asymmetrical?
A
Asymmetrical.
3
Q
Is it more common in men or women?
A
Men
4
Q
What is the average age of diagnosis?
A
65 years
5
Q
Describe the bradykinesia seen in Parkinson’s disease.
A
- Poverty of movement.
- Short shuffling steps with reduced arm swinging.
- Difficulty in initiating movement.
6
Q
Describe the bardykinesia seen in Parkinson’s disease.
A
7
Q
Describe the tremor seen in Parkinson’s disease.
A
- More marked at rest, 3-5 hz
- Worse when stressed or tired.
- Pill rolling
8
Q
Describe the rigidity seen in Parkinson’s disease.
A
- Lead pipe
- Cogwheel: due to superimposed tremor
9
Q
What are some other characteristic features of Parkinson’s disease?
A
- Mask-like facies
- Flexed posture
- Micrographia
- Drooling of saliva
- Psychiatric features: depression is the most common feature (affects about 40%); dementia, psychosis and sleep disturbances may also occur
- Impaired olfaction
- REM sleep behaviour disorder
10
Q
How does Drug-induced Parkinsonism differ from Parkinson’s disease?
A
- Motor symptoms are generally rapid onset and bilateral
- Rigidity and rest tremor are uncommon
