The disease involves a change in the basal ganglia motor circuit. The motor
circuit consists of sending output information to the cerebral cortex , pedunculopontine
nucleus and the midbrain locomotor area. The direct pathway consists of the the substantia
nigra via the nigrostriadal pathway sends dopamine cells that are excitatory to the globus
pallidis internus . The globus pallidus is inhibited creating disinhibition of the thalamus and
excitory neurons are sent to the motor cortex. The result is facilitation to the lower motor
neurons that innervate the voluntary muscles. In the indirect pathway the dopamine acts
as a inhibitory