转发帕金森病诊断鉴别及疾病治疗(三)(Diagnosis, differential diagnosis and treatment of Parkinsons disease (three)).docVIP
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转发帕金森病诊断鉴别及疾病治疗(三)(Diagnosis, differential diagnosis and treatment of Parkinsons disease (three))
转发帕金森病诊断鉴别及疾病治疗(三)(Diagnosis, differential diagnosis and treatment of Parkinsons disease (three))
Diagnosis, differential diagnosis and treatment of Parkinsons disease (three)
Source: Baidu business card
Diagnosis basis
The early signs of the disease include a decrease in blinking, lack of facial expression, reduction in various movements, and postural reflex disorders. In the early stage of disease in about 70% of the cases with tremor, but often with tremor disease progress will be weakened. Although occasionally stiff may be mild or even absent, but if not only tremor possess these signs, you should consider other diagnosis, or there is a need to review in the future, because if the patient is suffering from Parkinson diseases will appear in succession new signs. The most frequently confused with Parkinsons disease is essential tremor (see above tremor), but essential tremor patients with normal facial expressions, the speed of movement is normal, and no gait disorder. And essential tremor is action tremor, is most common in Parkinsons disease tremor. Spontaneous movements decreased, accompanied by rheumatoid arthritis caused by small differences between gait, mild depression or dementia in elderly patients with Parkinsons disease may be difficult. The etiology of secondary Parkinson syndrome can be learned from history.
differential diagnosis
1. encephalitis Parkinson syndrome: Parkinsons syndrome, usually referred to as lethargic encephalitis, has not been reported for nearly 70 years, so the Parkinson syndrome disappears after the encephalitis. In recent years, reports of viral encephalitis patients may have Parkinson like symptoms, but the disease has obvious symptoms of infection may be associated with cranial nerve palsy, paralysis, convulsions, coma and other damage to the nervous system of the syndrome, cerebrospinal fluid can have mild to moderate increase in cell number, protein increased and decrease in sugar. After remission, the symptoms of Parkinson
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