Trish-- here's the answer from Peter's neuro: Question: A friend who has PD says her doctor told her that PD and hypoglycemia are "both caused by a virus". I thought the cause of PD was unknown....except for the cases resulting from the 1918 flu epidemic. Can the doctor be right? or is he thinking of the 1918 cases only? I don`t know if the doctor is a neurologist. Any comments? Answer: The cause for PD remains unknown. Postencephalitic parkinsonism is indeed due to a virus as you have indicated. However, the brain pathology in such patients does not resemble that seen in PD, so they are distinct entities. MPTP, a contaminant of illicit drugs also produced an epidemic of parkinsonism. This again is a distinct entity but suggests the possibility of toxins as a cause. Paraquat, a pesticide, has a chemical structure resembling MPTP. There also is some indication that PD may be more common in rural areas, perhaps related to pesticide exposure. All these however are speculations and there is no definitive evidence for any of these agents as specific causative factors for Parkinson`s disease. For more information: Arif Dalvi, M.D. Assistant Professor , Department of Neurology College of Medicine , University of Cincinnati ******* This "NetWellness"site run by the U. of Cincinnati Med School is very useful--one can "Ask an Expert" about a long list of diseases. I have mentioned it before, and here's the URL again. Maybe Janet would like to link to it? http://www.netwellness.org/expert/expert_frame.htm Ask an Expert | What's Hot | Health Topics | In the News What's New | Search | Getting Around | About | Feedback | E-Books/Magazines | Medline | Home Copyright © 1994-1999 University of Cincinnati ******** Trish-- You might want to share this with the osteopath who misinformed you! You could go to the website and ask about hypoglycemia, too . Camilla Flintermann, <[log in to unmask]> http://www.newcountry.nu/pd/members/camilla/one.htm My Home Page " Knowing when to insist, and when to let be, is,perhaps, a lifetime learning experience ." --Mary McCurry