Parkinson's disease - Causes, Symptoms and Treatment
Causes Parkinson's disease
What causes PD is not known, there may be genetic causality, but the main pathological process involves degeneration of the SUBSTANTIA NIGRA, which is situated in the basal ganglia and is an area rich in dopamine cells. Dopamine is one of the major neurotransmitters, or naturally occurring chemicals, found in the brain. In PD there is a major depletion of dopamine, especially apparent in the fiber projection from the substantia nigra to the corpus striatum. Dopamine is believed to be the main, but not the only, neurotransmitter involved in PD.
There are some known toxins that can cause parkinsonism, most notoriously a chemical called MPTP, found as an impurity in some illegal drugs. Parkinsonian symptoms appear within hours of ingestion, and are permanent. MPTP may exert its effects through generation of toxic molecular fragments called free radicals, and reducing free radicals has been a target of several experimental treatments for PD using antioxidants.
Early loss of mental capacities is uncommon. However, persons with severe Parkinson's may have overall mental deterioration (including dementia and hallucinations). Dementia can also be a side effect of some of the medications used to treat the disorder.
Parkinson's in children appears to occur when nerves are not as sensitive to dopamine, rather than damage to the area of brain that produces dopamine. Parkinson's in children is rare.
Parkinson's Disease Symptoms
What are the signs and symptoms of Parkinson's disease
Tremors -- rhythmic movements or shaking, especially in the hands and particularly when they are at rest
Rigid limbs and trunk -- muscle tenseness, stiffness, aching, or weakness
Slowness of movement -- difficulty beginning a task, such as washing or dressin
Bradykinesia is the phenomenon of a person experiencing slow movements. In addition to slow movements, a person with bradykinesia will probably also have incomplete movement, difficulty initiating movements and sudden stopping of ongoing movement. People who have bradykinesia may walk with short, shuffling steps (this is called festination). Bradykinesia and rigidity can occur in the facial muscles, reducing a person's range of facial expressions and resulting in a "mask-like" appearanc
Parkinson's Disease Treatment
Drugs that replace dopamine are the most effective treatment. These drugs are combinations of levodopa, which breaks down in the body to form dopamine, and a chemical that ensures there is the right amount of dopamine in the brain. They are effective at treating symptoms and can provide long-term improvement, although there are some side-effects. These include nausea, dizziness and constipation. Also, they can cause long-term problems such as unwanted movements of the face and limbs (dyskinesia) and they may become less effective over time, with symptoms fluctuating suddenly - often called the on-off syndrome.
Modifying your activities and your home, such as simplifying your daily activities and changing the location of furniture so that you can hold on to something as you move around the house.
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