Facultad de Medicina

La pérdida temprana de la capacidadmental es poco común; sin embargo, las personas que padecen la enfermedad severa pueden presentar deterioro mental general (incluyendo demencia y alucinaciones). La demencia también puede ser un efectosecundario de algunos medicamentos usados para el tratamiento de este trastorno. Aunque es poco frecuente en los niños, cuando el mal de Parkinson se presenta en ellos, parece ocurrir cuando losnervios no son tan sensibles a la dopamina, más que por el daño al área del cerebro que produce esta sustancia.
El diagnóstico puede realizarse en aquellos individuos que presenten al menos 2 de 4signos cardinales:
Temblor en reposo.
Rigidez múscular.
Bradicinesia(lentitud de los movimientos voluntarios)
Pérdida de reflejos posturales
El temblor en reposoestá presente en ~85 % de los casos de EP. La ausencia de expresión facial, disminución del parpadeo y del movimiento de los brazos al caminar completan el cuadro clínico.
SÍNTOMASRigidez muscular
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Postura inestable, encorvada o desplomada
Pérdida del equilibrio
Cambios en la marcha (patrón de caminar)Marcha arrastrada
Movimientos lentos
Dificultad para iniciar cualquier movimiento voluntario
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Pasos cortos seguidos de la necesidad decorrer para mantener el equilibrio
Congelamiento del movimiento cuando éste se suspende e incapacidad para reiniciarlo
Achaques y dolores musculares (mialgia)
Agitación,temblores (de grado variable o pueden no presentarse)
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Cambios en la expresión facial:

91 thoughts on “Parkinson

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