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May 21, 2013
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Parkinson's Disease

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Parkinson's Disease Definition and Overview

Parkinson's disease (PD) is an age-related progressive deterioration of certain nerve systems in the brain, which affects movement, balance, and muscle control.

  • Parkinson's disease is one of the most common movement disorders, affecting about 1% of people older than 60 years. PD is about 1.5 times more common in men than in women, and it becomes more likely to occur in people as they age. PD is not a hereditary disease.
  • The average age of onset is about 60 years. Onset before age 40 years is relatively uncommon, but the much-publicized diagnosis of actor Michael J. Fox shows that younger people are also vulnerable.
  • In PD, brain cells deteriorate (or degenerate) in an area of the brain called the substantia nigra. From the substantia nigra, specific nerve cell tracts connect to another part of the brain called the corpus striatum, where the neurotransmitter (a chemical messenger in the brain) called dopamine is released. Dopamine is an important neurotransmitter and alterations in its concentration can lead to the different medical problems seen in PD.
  • The loss of these specific brain cells and decline in dopamine concentration are key steps that lead to the signs and symptoms of PD as well as are the target for treatments of PD. However, the biological, chemical, and genetic mechanisms responsible for the brain cell loss have not been identified with certainty.

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Viewer Comments & Reviews

Parkinson's Disease - Effective Treatment

The eMedicineHealth physician editors ask:

What treatment has been effective for your Parkinson's disease?

Parkinson's Disease: What Age of Onset and Symptoms

The eMedicineHealth physician editors ask:

At what age did Parkinson's first appear, and what were the symptoms?

Parkinson's Disease - Medications

The eMedicineHealth physician editors ask:

Which medications are you taking for Parkinson's disease? Do they help?

Parkinson's Disease - Stages

The eMedicineHealth physician editors ask:

What stage of Parkinson's disease do you or your loved one have?

Parkinson's Disease Stages

Hoehn and Yahr Staging

  • Stage one: Symptoms on one side of the body only.
  • Stage two: Symptoms on both sides of the body. No impairment of balance.
  • Stage three: Balance impairment. Mild to moderate disease. Physically independent.
  • Stage four: Severe disability, but still able to walk or stand unassisted.
  • Stage five: Wheelchair-bound or bedridden unless assisted.

SOURCE:
National Institute of Neurological Disorders and Stroke (NINDS)

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Read What Your Physician is Reading on Medscape

Parkinson Disease »

Parkinson disease (Parkinson's disease, PD) is a progressive neurodegenerative disorder associated with a loss of dopaminergic nigrostriatal neurons.

Read More on Medscape Reference »


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