Secondary Symptoms of PD April 2000
A couple of years ago, I set out to collect and organize all I
knew about the myriad effects of PD, other than the "classic
triad" symptoms of tremor, rigidity, and bradykinesia. Not so
much for diagnosis as a clue about what might be expected, and
how to deal with it. This turned into a 20-page document, which
at the time I thought too big and of too narrow interest to
post in this e-mail forum, aside from occasional brief extracts
to answer specific inquiries. But the recent and very rapid
evolution of the www into a resource reference vehicle has
changed my mind. If anyone can use this stuff why not share it.
The Table Of Contents is also the outline, which I shall follow
in posting a few pages at a time to avoid overloading the
email system. And please remember, the statements are my own
opinions only, with no pretension whatever to medical authority.
CONTENTS
EXTERNAL MOVEMENT PROBLEMS..................................1
BRADYKINESIA.............................................1
Slowness..............................................1
Poverty Of Motion.....................................1
RIGIDITY.................................................2
Persistent Tension....................................2
Blank Expression......................................2
Stooped Posture.......................................2
SELECTIVE WEAKNESS.......................................2
Swallowing Weakness...................................2
Limb Weakness.........................................2
TREMOR...................................................3
Resting Tremor........................................3
Intention Tremor......................................3
Action Tremor.........................................3
Dyskinetic Tremor.....................................3
FLUCTUATIONS.............................................4
PEAK-DOSE EFFECTS.....................................4
Dyskinesia.........................................5
Drug-Induced Tremor................................5
END-OF-DOSE EFFECTS...................................5
Wearing-Off........................................5
On-Off.............................................5
Dystonia (Cramp)...................................5
Lethargy...........................................5
STRESS................................................6
Chronic Fatigue....................................6
Quick Exhaustion...................................6
BALANCE..................................................6
Posture...............................................6
Falling...............................................6
GAIT.....................................................7
Toe Dragging..........................................7
Shuffling.............................................7
Shortened Stride......................................7
Festination...........................................7
Freezing..............................................7
COORDINATION.............................................8
Mis-position..........................................8
Mis-direction.........................................8
Slowness..............................................8
Bilateral Ability.....................................8
Fine Guidance.........................................8
EYE CONTROL..............................................9
Jitter................................................9
Convergence...........................................9
SPEECH PROBLEMS..........................................9
Voice.................................................9
Slurring..............................................9
Stuttering............................................9
FRIGHT REFLEXES.........................................10
Blink Reflex.........................................10
Startle Reflex.......................................10
(next)
CONTENTS (cont.)
INTERNAL REGULATION PROBLEMS..............................11
CONSTIPATION...........................................11
SEXUAL DYSFUNCTION.....................................11
Abnormal Libido.....................................11
Impotence...........................................11
MENSTRUAL EFFECTS......................................11
URINARY DYSFUNCTION....................................12
Incontinence........................................12
Retention...........................................12
Color In Urine......................................12
EXUDATIONS.............................................13
Drooling............................................13
Runny Nose..........................................13
Sweating............................................13
Seborrhea...........................................13
Dandruff............................................13
Skin Cysts..........................................13
Blepharitis.........................................13
LOW BLOOD PRESSURE.....................................14
PROLACTINEMIA..........................................14
THERMAL CONTROL........................................14
NAUSEA.................................................14
SENSORY DYSFUNCTION.......................................15
VISION EFFECTS.........................................15
Color Perception....................................15
Contrast Perception.................................15
TEMPERATURE SENSATION..................................15
MECHANICAL SENSATION...................................15
SMELL AND TASTE........................................15
TINNITUS...............................................15
MENTAL SYMPTOMS...........................................16
ATTENTION DEFICIT......................................16
MEMORY.................................................16
Short-Term Memory...................................16
Habit And Rote Learning.............................16
Pattern Recognition.................................16
SLEEP DISTURBANCE......................................17
Interruption........................................17
Vivid Dreams........................................17
Violence............................................17
HALLUCINATIONS.........................................17
Visual..............................................17
Auditory............................................17
DEPRESSION.............................................18
Clinical Depression.................................18
Mood Swings.........................................18
BRADYPHRENIA...........................................18
Cheers,
Joe
--
J. R. Bruman (818) 789-3694
3527 Cody Road
Sherman Oaks, CA 91403-5013
