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John N... I'm not sure if the following is an accepted medical gradient, however, it was used in MY case, and other of his patients cases by Loma Linda Med Center's Dr. Robert Iacono - neurosurgeon and Parkinson's-movement disorders specialist. IF one's very stiff only, with NO tremor, they are a "A" IF one's dyskenic, or has a visible tremor or prone to other repeated movements , they are a "B." When I first saw Dr. Iacono in August of 1994, I had no visible tremor, tho did have an occasional invisible INNER tremor, he listed me as being an "A" with a touch of "B" making me an A/b. If I remember correctly, there's also a "C" and a :"D" rating, however, I can't recall what symptoms put one in those categories. I can best describe my condition at the time I went to see Dr, Iacono as being SOOOOOO stiff, that if I'd been magically transported to a redwood forest, you wouldn't have been able to tell the difference between me and the trees! In reading your post listing your PD symptoms, I noted they were similar to my own (prior to my very successful 10/94 unilateral pallidotomy. The PD cropped up on the LEFT (dominant) side of my body a coupla years ago and oddly, it's like a different disease since in this case, there IS a visible, mild "resting tremor," along with internal degeneration that is to be expected when one's had PD as long as I have (25 years since the first vague symptoms). Barb Mallut [log in to unmask] -----Original Message----- From: John Noble SET PARKINSN DIGESTS <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: Sunday, February 13, 2000 7:48 AM Subject: Questions re "non-tremor form of Parkinson's" >Is there a body of literature distinguishing the "non-tremor form" of PD from >other forms? Does this form go by other identifying names besides >"non-tremor"? And how clear is the dichotomy between this and other forms? >From Dr van der Linden's description, it sounds uncomfortably close to my >situation, so I'd appreciate any sources to which anyone can point me. > > >Dr. Chris van der Linden wrote: > >> Dear Brian, >> >> You are describing the non-tremor form of Parkinson's disease, which starts >> at a later age, usually doesn't show any tremor, progressive course with >> slowness of movement and gait disturbance, not very effectively respondnding >> to anti-Parkinson medciation and frequently requiring high doses of meds. >> In addition, a higher chance of dementia in this patient group. >> > > >John H Noble, 2500 Q St NW/#513, Washington DC 20007-4364 >(202) 965-9865 >[log in to unmask]