PARKINSON'S DISEASE - W Pratiksha Hospital Gurgaon
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PARKINSON’S DISEASE

18 Mar PARKINSON’S DISEASE

What are the symptoms of Parkinson’s Disease?

Following symptoms may indicate that patient may be having Parkinson’s disease

  • Tremors of hands, head, body etc.
  • Slowing of movements in routine activities like walking , eating, dressing , bathing etc.
  • Reduction of facial expression- decreased blinking of eyes, drooling of saliva from mouth
  • Increased stiffness of body
  • Instability in standing, walking, repeated falls

 

Which age group does Parkinson’s Disease usually affect?

Parkinson’s disease mostly affects persons of old age , usually 55 years or more. However over past 1-2 decades it has started affecting people of younger age group like fourth to fifth decade also.

 

Why does Parkinson’s disease occur?

Parkinson’s disease occurs due progressive loss of dopamine secreting nerve cells of the brain . It is said that by the time patient starts experiencing symptoms of Parkinson’s disease , 70% of dopamine secreting nerve cells are already lost. There are multiple reasons for this to occur , like, environmental toxins , genetic predisposition , repeated head injuries as in boxing etc., certain drugs.

 

Who is the best doctor to treat Parkinson’s Disease? What are the treatments available for Parkinson’s Disease?

Parkinson’s disease is disease of brain and nervous system, hence Neurologist, a doctor who specialises diseases of brain and nervous system is the best  doctor who can treat this. Anti parkinson’s medicines available basically increase levels of dopamine inside the brain. This helps in controlling patient’s symptoms like stiffness, tremors and walking instability. Patient can be well controlled for considerable years of his illness , it is only in late stages of disease around 8-10 years later some patients require other surgical procedures like DBS ( Deep Brain stimulation) because failure of medicines to control patient’s condition properly. It is very important that proper schedule of medicines, meals timings  and activities of daily living is followed , so that patient derives maximum benefit and minimum side effects of medicines , for this your neurologist will be able to help you out the  most.

 

What is the long term course of Parkinson’s Disease?

Parkinson’s disease is mostly a progressive illness, with time, requirements of medicines tend to increase , patient may experience increased need for help in activities of daily living. Patient may develop memory problems in late stages of disease as dementia sets in. But important fact to note is that course of illness is extremely variable from patient to patient , some patient may develop progressive deterioration , but some may have have a very stable disease with minimum fluctuations and preservation of good mobility for years together.

By

Dr. Kapil Agarwal
Senior Consultant & Head
Department of Neurology