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10 Cards in this Set

  • Front
  • Back
Define Parkinsonism
Group of disorders that have impaired motor activity -bradykinesia and instability
Two categories of Parkinsonism
Primary - Parkinson's
Secondary
Causes of Primary Parkinsonism
Familial
Idiopathic (most common 90%)
Other Neurodegenerative disorders with pathologies associated with a-synuclein, primary tau, & primary amyloid
Genetically mediated disorders with occasional parkinsonian features including Wilson's & Huntington's
Miscellanenous - Vascular, normal pressure hydrocephalus, catatonia, cerebral palsy
Causes of Secondary Parkinsonism
Repeated head trauma
Infectious and post infectious disease including neurosyphillis
Metabolic conditions including hypoparathyroidism, non-wilson hepatolenticular degeneration
Drugs
Toxins
What drugs can cause secondary parkinsonism?
Neuroleptics
Antipsychotics
Anti-emetics
Dopamine depleting agents - reserpine, tetrabenazine
Methyldopa
Lithium Carbonate
Valporic Acid
Fluxetine
What toxins can cause secondary parkinsonism?
MTPT
Manganese
Cyanide
Methanol
Cabrbon monoxide
Carbon disulfide
N-hexane
What is the mean age of onset of parkinson's disease?
58 to 62
What is the progression of parkinson's disease?
Chronic progressive disorder over the span of 10 to 20 years
Name the four primary symptoms of parkinson's?
TRAP
Tremor (hands, arms, legs, jaw, face) unilateral or bilateral
Rigidity or stiffmess
Akinesia or bradykinesia
Postural Instability
What is the most recognized characteristic of Parkinson's and describe it?
Tremor - 3 to 6 beats per minute back and forth motion of hand, worsens at rest and with stress