Red Flags In Parkinsons Disease And Differential Diagnosis

Question 1

What features should make you question a diagnosis of Parkinson’s disease?

Answer 1

Bilateral onset (PSP)
Poor response to L-dopa
Dysautonomia- bladder, orthostatic hypotension (MSA)
Dystonia (PSP)
Anterocollis- head flexed (MSA)
Retrocollis- head extended (PSA)
Myoclonus (Corticobasal dementia, CJD)
Early onset dementia (lewy body dementia)