Vascular & Drug Induced Parkinsonism Flashcards
Where does vascular parkinsonism predominantly affect?
Lower limbs
What is an uncommon presentation of vascular parkinsonism?
Rest tremor
What are there often signs of in vascular parkinsonism?
- Spasticity
- Hemiparesis
- Pseudobulbar palsy
What is the likely response of vascular Parkinsons to levodopa?
Poor
What guides diagnosis in vascular Parkinsonism?
Structural brain imaging
Is drug induced parkinsonism usually asymmetrical or symmetrical?
Presents symmetrically
What type of tremor is common in drug induced parkinsonism?
Coarse postural tremor
What other drug induced disorders could be present in drug induced parkinsonism?
- Orolingual dyskinesias
- Tardive dystonia
- Akathisia
What is akathisia?
subjective feeling of motor restlessness manifested by a compelling need to be in constant movement
What is orolingual dyskinesia?
involuntary repetitive movements of the mouth and face
What is Tardive dystonia?
a more severe form of tardive dyskinesia in which slower twisting movements of the neck and trunk muscles are prominent
What is important to find about drug induced parkinsonism?
Series of events leading up to
-Emergence after drug exposure
When does drug induced parkinsonism improve?
Within a few months after complete drug withdrawal there is resolution and improvement
