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PARKINSON’S DISEASE
SAKEENA ASMI T
MAHATMA GANDHI
UNIVERSITY
HISTORY
• Parkinson’s Disease (PD) was first described in detail by James
Parkinson in 1817 in “An Essay on the Shaking Palsey.”
• Onset typically between 50-60 years of age, and slowly
progresses with age.
• ~1 million people are living with Parkinson’s disease in U.S.
• This makes PD one of the most common brain disease, after
ALZHEIMER’S DISEASE
FAMOUS FACES WITH PD
Michael J. Fox Muhammad Ali Pope John Paul II Katharine Hepburn
WHAT IS PARKINSON’S DISEASE?
• PD is a neurodegenerative disease in which
dopamine producing neurons, having a brain
structure called Substantia nigra are damaged
and die over time leading to a number of motor
problems and mental disabilities.
• Substantia nigra is a part of baso ganglia. Its
major function is to inhibit unwanted motor
activity.
Contin…
• When a person intents to make a movement, this inhibition is
removed by the action of dopamine.
Contin…
• As dopaminergic neurons are progressively lost in PD patients, low
levels of dopamine make it harder to initiate voluntary movements.
Slide Title
Slide Title
CAUSES
• Idiopathic—majority of cases
• Genetic – genes implicated: SNCA, LRRK2, GBA,
PRKN, PINK1, PARK7…
• Environmental factors – exposure to herbicides,
pesticides etc…
• Drug induced
• Toxins
• Head Trauma
• Cerebral Anoxia
SYMPTOMS
MOTOR
PROBLEMS
(PARKINSONISM)
SLURRED
SPEECH
HAND
TREMORS
GAIT AND
BALANCE
PROBLEMS
REDUCED
FACIAL
EXPRESSION
MOVEMENT
PROBLEMS
LIMB
RIGIDITY
Contin…
MOVEMENT
Bradykinesia – slow
Hypokinesia – lessened
Akinesia – absence
From difficulty initiating movement
Legs free up
Shuffling gait
Contin…
NON
MOTOR
PROBLEMS
COGNITIVE
IMPAIREMENT
MOOD AND
BEHAVIORAL
CHANGES
SLEEP
DISTURBANCES
CONSTIPATION
VISION
PROBLEMS &
DIFFICULTY
SMELLING
WEIGHT LOSS
DIAGNOSIS
• PET Scan—decreased dopaminergic activity in the
substantia nigra
• Normal CT
• Normal MRI
TREATMENT
STRATEGY : INCREASE DOPAMINE SIGNALING
o LEVODOPA
– Most popular treatment
– Form of dopamine which is able to cross the BBB and can then be
metabolized to dopamine.
o AMANTADINE
Antiviral Medication
Increases DOPAMINE production (?)
o DOPAMINE AGONISTS
Stimulate DOPAMINE RECEPTORS
- Bromocriptine ERGOT (FUNGAL) DERIVATIVE
- Pramipexole
- Ropinirole NOT ERGOT
o COMT inhibitors (Catacholamine - o – methyl transferase)
o MAO-B inhibitors (Monoamine oxidase B)
o ANTICHOLINERGICS
Helps with tremors
Eg : Benetropine
SURGICAL OPTIONS
 Surgical procedures are now available for specific patients who no
longer respond to drug treatments.
o DEEP BRAIN STIMULATION
- implant device, pacemaker-like unit
transmit impulses to electrodes placed
in subthalamic nucleus.
Slide Title

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