Parkinson's Disease Essay

James Parkinson first discovered Parkinson's Disease in 1817. Parkinson's Disease is a common neurologic disorder for the elderly. It is a disorder of the brain characterized by shaking and difficulty with walking, movement, and coordination. This disease is associated with damage to a part of the brain that controls muscle movement. Parkinson's Disease is a chronic illness that is still being extensively studied.

Parkinson disease (PD) is one of the most common neurologic disorders. and it affects approximately 1% of individuals older than 60 years old. Parkinson’s disease is a condition that progresses slowly by treatment. In addition, loss of pigmented dopaminergic neurons of the substantianigra pars compacta and the presence of Lewy bodies and Lewyneurites are the two major neuropathologic findings in Parkinson disease (Hauser, 2016).

Parkinson 's disease is a progressive neurologic degenerative disease of the Central Nervous system. The brain produces Dopamine and Norepinephrine, which are chemicals needed for smooth muscle movement and coordination, heart rate, and blood pressure. Dopamine and Norepinephrine are released by basal ganglions that are produced in a bundle of nerve cells in the brainstem called substantia nigra. In Parkinson 's patients, the substantia nigra are destroyed and neither of the chemicals can be released into the body. (3) The decrease in Norepinephrine causes heart arrhythmia and low blood pressure, causing the person to get dizzy upon standing or tire easily. The lack of Dopamine, the smooth muscle movement and coordination controller is now gone, or significantly decreased, resulting in the first signs of Parkinson’s disease, pill-rolling, a one handed tremor and a decreased appetite. (2)

Parkinson disease (PD), also referred to as Parkinson’s disease and paralysis agitans, is a progressive neurodegenerative disease that is the third most common neurologic disorder of older adults. It is a debilitating disease affecting motor ability and is characterized by four cardinal symptoms: tremor rigidity, bradykinesia or kinesis (slow movement/no movement), and postural instability. Most people have primary, or idiopathic, disease. A few patients have secondary parkinsonian symptoms from conditions such as brain tumors and certain anti-psychotic drugs.

Parkinson’s disease is caused by the destruction of dopamine-producing nerve cells in the midbrain (Substantia nigra). These nerve cells are used to coordinate smooth and regular body movement. In the absence of these cells, people often experience tremors (involuntary shaking or

Parkinson’s disease is a progressive disorder of the central Nervous system and affects both motor and nonmotor functions. parkinson 's is caused by a chemical imbalance within the brain. The brain produces a neurotransmitter called dopamine in the basal ganglia, which is structures linked to the thalamus in the base of the brain. If the Dopamine, Basal ganglia and Thalamus does not function properly then causes major damage,. A person having less and less dopamine, the individual has less and less ability to regulate their movements, body and emotions. Although there is no current cure available for Parkinson’s disease, the debilitating conditions can be lessoned through education, therapy, and a variety of treatments to improve their quality of life on the National Parkinson Foundation website.

Parkinson’s and Alzheimer’s disease are two degenerative brain diseases that differ in their symptoms, causes, treatment, physical and biological indicators. Per Hooley et al. (2017), Parkinson’ disease is thought to be caused by an extended reduction of dopamine, which the absence of constrains normal neural impulses in the brain. After some time, movements such as tremors, stammered speech, diminished or unintentional body movements are demonstrated. Those that suffer from Parkinson’s disease often have an incapability to swallow and muscle stiffness that affects muscles in their faces with mental deterioration occurring as the disease progresses. Parkinson’s disease can be traced to gender and genetics and most of those affected are men that have a family history of the disease (APA, 2013). Treatment for Parkinson’s disease encompasses dopamine precursors to increase the presence of dopamine.

Although the etiology of idiopathic Parkinson's disease (PD) is unknown, it is characterized by the loss of dopaminergic (DA) neurons in the substantia nigra pars compacta (SNpc) of ventral midbrain region [9]; [1]. Its prevalence is associated with age. Approximately 1% of the population is affected at 65–70 years of age, which increases to 4–5% in 85-year-olds [2]. Various epidemiological studies and pathological analyses have demonstrated that mean age of onset in sporadic PD, which accounts for about 95% of cases of Parkinsonism is 70 years [7]; [3]. Familial form of Parkinson’s disease is linked to genetic mutations and has prevalence rate of 4%. Familial Parkinson’s disease patients develop early-onset disease before the age of 50

Parkinson’s disease (PD) is the second most common neurodegenerative disease. Two other names for PD are shaking palsy and Paralysis agitans. Parkinson’s disease is initiated when the cells in the brain that produce dopamine die over time. Dopamine is a brain chemical used by nerve cells that helps to control the body 's muscle movement. Without those brain cells and the dopamine they produce, it becomes increasingly more difficult for the cells that control movement to send messages to the muscles; affecting the body’s movement. As time goes on the damage worsens. There is not a known cause as to why these brain cells die, although there are a few theories ("MedlinePlus Medical Encyclopedia:

Parkinson 's disease, like Alzheimer’s is more common in later ages but is affecting youth and young adults. It is the second most common neurological degenerative disorder, and has been found to affect 6 million people worldwide. The disease is a progressive motor syndrome that impairs the heart, muscles, and central nervous system. Intracellular inclusions, Lewy bodies, and dopaminergic neuronal loss effect Parkinson’s disease. In 5–10% of Parkinson’s cases, they are familial and transmitted in either an autosomal-dominant or an autosomal-recessive fashion. (Gandhi, 2010)

Parkinson’s Disease is a long-term progressive neurodegenerative disease consisting of motor system impairment, neuropsychiatric, and nonmotor features. The disease is characterized by the following key clinical features: bradykinesia, resting tremor, postural instability, and rigidity. These symptoms are due to the diminishing of dopamine in the nigrostriatal pathway and substantia nigra, which causes inhibition of the thalamus decreasing excitatory input to the motor cortex.1 Along with the key manifestations an individual with Parkinson’s Disease will experience problems associated with the disease or the antiparkinson medications. These co-occurring problems are hallucinations, dementia, daytime sleepiness, fatigue, depression, and pyschosis.2 Psychosis is a common problem in Parkinson’s Disease, and is characterized by paranoid delusions and hallucinations that are visual in nature.2 Risk factors for psychosis consists of advancing age, dementia, sleep disorders, and high doses of antiparkinson drugs.1

From a clinical diagnosis standpoint, Parkinson’s is solely dependent on the physical symptoms that have been caused by the deficiency of dopamine because of the lack of neuron cells in the substantia nigra. Without high end laboratory maneuvers and MRIs of the brain, Parkinson’s can already be diagnosed just by observing the physicality of the patient. MRIs are usually used to rule out any other disorder that could also present the same symptoms as Parkinson’s. The primary symptoms in regards to this disease include akinesia, or loss or impairment of voluntary movements, bradykinesia, or slow movement, trembling in hands, arms head, and legs, stiffness in the trunk portion of the body and muscle flexors of the limbs, and unstable posture affecting balance. Parkinson’s is chronic and slow progressive and over time patients will begin to experience difficulty in normal tasks such as walking, talking, and other day to day activities (NINDS, 2013).

Dopamine is a brain chemical/Neurotransmitter that work as messenger signal between the Substantia Nigra to the next relay station of the brain, the corpus striatum which helps to produce smooth coordinate movement and also plays a major role to help control muscle’s movement. With Parkinson’s disease, the brain cells that produce dopamine slowly die, which lead to decrease production of Dopamine. The loss of dopamine causes abnormal nerve firing with brain and the cells that control muscle’s movement by sending the messages to the muscles; due to this it becomes really hard to control muscles movement and cause tremors and various other symptoms such as rigidity and difficulty walking and performing daily tasks. Dopamine is not the only neurotransmitter involved in Parkinson’s Disease. Norepinephrine is very relatively close to dopamine and is also involved in Parkinson’s Disease. Individuals with Parkinson’s Disease have loss of nerve ending that produce norepinephrine. Norepinephrine is a major neurotransmitter for sympathetic nervous system, which control many autonomic functions of our body; it causes increase in blood pressure and heart rate. Loss of norepinephrine can help us explain the non-motor symptoms associated with Parkinson’s Disease such as fatigue, decrease in gastric stability and disruption in cognition. Parkinson’s Disease can be hereditary

o When dopamine producing cells are reduced by 80%, the physical symptoms of Parkinson’s present themselves

Parkinson disease (PD) is a progressive neurodegenerative disorder characterized mainly by physical and psychological disabilities. This disorder was named after James Parkinson, an English physician who first described it as shaking palsy in 1817 (Goetz, Factr, and Weiner, 2002). Jean- Martin Charcot, who was a French neurologist, then progressed and further refined the description of the disease and identified other clinical features of PD (Goetz, Factr, and Weiner, 2002). PD involves the loss of cells that produce the neurotransmitter dopamine in a part of the brain stem called the substansia nigra, which results in several signs and symptoms (Byrd, Marks, and Starr, 2000). It is manifested clinically by tremor,