Disorders Similar to Parkinson's Disease

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Other diseases that mirron Parkinson's include:

Ateriosclerotic parkinsonism. Sometimes known as pseudoparkinsonism, vascular parkinsonism, or atherosclerotic parkinsonism, arteriosclerotic parkinsonism involves damage to the brain due to multiple small strokes.  Tremor is rare in this type of parkinsonism, while dementia — the loss of mental skills and abilities — is common. Antiparkinsonian drugs are of little help to patients with this form of parkinsonism. 

Parkinsonism-dementia complex of Guam. This disease occurs among the Chamorro populations of Guam and the Mariana Islands and may be accompanied by a motor neuron disease resembling amyotrophic lateral sclerosis (Lou Gehrig's disease). The course of the disease is rapid, with death typically occurring within 5 years. 

Post-traumatic parkinsonism.  Also known as post-traumatic encephalopathy or "punch-drunk syndrome," parkinsonian symptoms can sometimes develop after a severe head injury or frequent head trauma that results from boxing or other activities.  This type of trauma also can cause a form of dementia called dementia pugilistica. 

Essential tremor.   Essential tremor, sometimes called benign essential tremor or familial tremor, is a common condition that tends to run in families and progresses slowly over time. The tremor is usually equal in both hands and increases when the hands are moving. The tremor may involve the head but usually spares the legs. Patients with essential tremor have no other parkinsonian features. Essential tremor is not the same as Parkinson's, and usually does not lead to it, although in some cases the two conditions may overlap in one person.  Essential tremor does not respond to levodopa or most other PD drugs, but it can be treated with other medications. 

Normal pressure hydrocephalus.  Normal pressure hydrocephalus (NPH) is an abnormal increase of cerebrospinal fluid (CSF) in the brain's ventricles, or cavities. It occurs if the normal flow of CSF throughout the brain and spinal cord is blocked in some way. This causes the ventricles to enlarge, putting pressure on the brain.  Symptoms include problems with walking, impaired bladder control leading to urinary frequency or incontinence, and progressive mental impairment and dementia. The person also may have a general slowing of movements or may complain that his or her feet feel "stuck."  These symptoms may sometimes be mistaken for PD.  Brain scans, intracranial pressure monitoring, and other tests can help to distinguish NPH from PD and other disorders.  NPH can sometimes be treated by surgically implanting a CSF shunt that drains excess cerebrospinal fluid into the abdomen, where it is absorbed. 

Progressive supranuclear palsy.  Progressive supranuclear palsy (PSP), sometimes called Steele-Richardson-Olszewski syndrome, is a rare, progressive brain disorder that causes problems with control of gait and balance.  People often tend to fall early in the course of PSP.  One of the most obvious signs of the disease is an inability to move the eyes properly.  Some patients describe this effect as a blurring. PSP patients often show alterations of mood and behavior, including depression and apathy as well as mild dementia.  The symptoms of PSP are caused by a gradual deterioration of brain cells in the brainstem. It is often misdiagnosed because some of its symptoms are very much like those of PD, Alzheimer's disease, and other brain disorders. PSP symptoms usually do not respond to medication.

 
 

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RSuzyJ

Give a Hug

Mar 9, 2009

My husband has been diagnosed twice. 11 years ago with Parkinson’s Disease and in 2006 with Progressive Supranuclear Palsy (PSP). He began having tremor and difficult speech at around age 55. His voice often faded to a whisper. He gradually developed movement problems and a tendency to lean forward to the right, which is also a genetic posture in older members of his family tree. He has developed Ptosis of the eyelids and has had Botox injections over the years which are no longer affective. He has implants in his larynx and receives annual injections of Radience to keep his vocal chords closer together to help in swallowing and clearing mucous. This does not help his speech but at times it does help him have a ‘voice’ instead of only a whisper or no sound at all.
Recently his movement has gotten much worse to where he cannot walk easily, even with me half -carrying him and pushing and holding his belt. He can use his walker only with someone beside him guiding and keeping a firm hand on him. His eyes are not ‘tracking’ and yet he can still focus slowly once his eyelids are lifted. His speech is still soft and slurred or completely unintelligible and he is gradually learning some sign language.

The last neurologist took him off Sinemet and Silegiline so I am wondering if there is something better that would help him? I add wonderful JUICEPLUS and Co-Q10 to his herbal regimen. Randyl

 
 

mfrederi

Give a Hug

Dec 8, 2010

I'm hoping mine is a helpful comment. My father was diagnosed with Parkinson's Disease and had it for approximately 8 years. His meds then ((1972-1980) were Cinemet, Cimitrel and the Dopamine med. During the day (as the meds were given), he exhibited either calm, agitation or alertness. Don't know if you have had this experience, but if you note how the patient behaves after the medication (their reaction to the med), you might want to discuss with his primary care physician the effects and see what they can do about changing the times of giving the med for the patient's benefit (maybe the one where it is so calming to before bed, etc.). Note how each med effects his speech if they are not given together (?) and let your p.c.p. know. With the physician's help, we juggled my dad's meds to where he was 1) more comfortable and 2) could function with more alertness at a better time for him during the day.. My thoughts go out to you.

 
 

poohbear

Give a Hug

Jan 8, 2011

I have been a caregiver for a als gentleman for 10 years. he can not move anything but his eyes and lips a little. He has a trac so he can not talk. The mda has helped us get a computer that is used for a talking device. he can type letters and have it run off on a printer and it also has a alarm on it to signal you that he needs something. before we got this we had to read his lips or use a letter board. if he needed something we bought a childs toy that makes noise when you push the button. as time went on we had to move to diffrent parts of the body that would work and strap it on in some places. he had to sleep with it at nite so i would wake me up when he needed things. have other helpful hints if you would like to know what we used. we have had to figure all this out a little at a time. but some things looked funny but worked.

 
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