Diagnosis of Parkinson’s disease is one of the most dreaded days in the life of a sufferer. Living with this terrible diagnosis can be very difficult. Because it doesn’t allow you to do things that you enjoy and have a sense of control in your daily life. The diagnosis of Parkinson’s has many challenges. There are no specific tests available to accurately diagnose Parkinson’s. Your physician trained on neurological disorders (neuropsychologist) will correctly diagnose Parkinson’s. This based on a thorough review of your symptoms, medical history, and a physical and neurological examination.
Table 2 A strong association has found between PD and the atypical features of Parkinson’s disease. Patients with initial PD have found to have characteristic atypical features. These include severe rigidity or rigid muscles, bradykinesia (muscle weakness), bradykinesia (muscle rigidity without pain), poor balance and coordination, decreased motor performance, speech delays, rigid facial expression, loss of handwriting and speech, parkinsonian neuropsychological syndrome, sleep disturbances, rigid and tremor of the limbs, Parkinsonism (general negligence), parkinsonism-inducing disorder, and bradykinesia.
Idiopathic Parkinson’s Disease
A problem of the focal sensory system that influences development, frequently including quakes.
Nerve cell harm in the mind causes dopamine levels to drop, prompting the manifestations of Parkinson’s.
Parkinson’s frequently begins with a quake in one hand. Different indications are sluggish development, solidness, and loss of equilibrium.
Prescriptions can help control the indications of Parkinson’s.
Individuals may insight:
- Quake: can happen very still, in the hands, appendages, or can be postural
- Strong: solid muscles, trouble standing, trouble strolling, trouble with real developments, compulsory developments, muscle unbending nature, issues with coordination, cadenced muscle withdrawals, slow substantial development, or moderate rearranging stride
- Rest: early arousing, bad dreams, anxious rest, or rest unsettling influences
- Entire body: weariness, unsteadiness, helpless equilibrium, or fretfulness
- Psychological: amnesia, disarray at night hours, dementia, or trouble thinking and comprehension
- Discourse: trouble talking, delicate discourse, or voice box fits
- Nasal: twisted feeling of smell or loss of smell
- Urinary: spilling of pee or spilling of pee
- Temperament: uneasiness or lack of care
- Facial: jaw solidness or decreased outward appearance
Additionally normal: clear gaze, stoppage, wretchedness, trouble gulping, slobbering, falling, dread of falling, misfortune conversely affectability, neck snugness, little penmanship, shaking, accidental squirming, or weight reduction
bradykinesia (muscle weakness) in Initial Diagnosis of Parkinson’s Disease
Patients with initial PD have been found to have bradykinesia (muscle weakness) which is a muscle weakness that affects facial muscles [face muscles]. Facial rigidity can affect the lips, eyes, chin, cheekbones, jaw, and neck. Other atypical features that are found in patients with PD are the atypical sweating of the scalp-most patients show excessive sweating on their face [sweaty palms, sweaty chin, etc. – see text].
Movement disorder is another factor in PD. If a patient has early signs of Parkinsonism but it later on develops tremor. It may mean that he/she has the first sign of the disease but has not yet reached the latter stage. The patient may be able to get relief from the symptoms of Parkinson’s but the tremor has already aggravated. Some symptoms of the disease can already see in the early stages such as rigidity, sweaty or perspiring, slowed movement, jerky movements, involuntary movements, slow or fast breathing, twitching, stiff muscles and inattention. These symptoms are easily detected since patients complaining of these symptoms do not seem to be able to control their movement and it is very easy to tell if a person is suffering from this condition.
Neuropsychological tests for Diagnosis of Parkinson’s Disease
The second method used to diagnose of Parkinson’s Disease is through neuropsychological tests. Neuropsychological tests basically design to measure a person’s mental status. This includes a questionnaire that aims to measure the levels of specific neurotransmitters dopamine and serotonin. A specific test called the levodopa challenge test also aims to measure the levels of these two neurotransmitters in the brain.
Several laboratory tests
There are also several laboratory tests that are part of the diagnosis of PD. For instance, a brain scan may do to check for abnormalities in brain structures such as the cerebrum, amygdala and hippocampus. Magnetic resonance imaging (MRI) is a more convenient method because it can provide images of the brain with high resolution and high speed. Another lab test perform to check for the level of activity of the motor system in patients with PD. This involves using a device that produces a current signal that absorb by the nerve cells and measures how much activity the cells undergo when it stimulates.
Videomuscular diagnosis (VMD)
Other than neuropsychological tests, a medical specialist may also order a battery of tests to confirm if a patient indeed has Parkinson’s disease. A neurological examination uses a gadget called a transducer to obtain details about the electrical patterns of someone’s brain. Another diagnostic tool called the videomuscular diagnosis (VMD) uses a scanning device to examine the details of a patient’s neck and to show if he has PD.
Finally, the third diagnostic test called the magnetomammar hyperbaric oxygen treatment (MHOB) do in a state of the patient’s home. To check for the presence of haemoglobin, fluid buildup and protein deficiency in the brain.
Once the final diagnosis has been made, a plan for treatment is laid out. Usually, PD is treated with a combination of psychotherapy and medication. However, you should remember that a cure for this atypical disease is yet to be discovered. So it is imperative that you consult a specialist as soon as possible to start your road to recovery.
It is important to note that the majority of patients with PD have good daily living skills. And able to control their conditions. Only a few, however, are not able to do so because of the rigidity of their muscles. Patients with bradykinesia often complain of rigidity and tautness, especially while performing activities requiring balance. Patients suffering from rigidity have trouble walking, maintaining a steady pace, picking up objects, and picking up dropped items. Thus, rigidity can be a disabling factor in daily living and is the first to be addressed. When you suspect you have this disease.
Related: Early-onset of Parkinson’s disease?