Rapid Review of 'Advanced(4)' Pearls on Parkinsonism for MRCP
Cortico-Basal Degeneration:
Postural Hypotension in PD:
- Due
to disease process, and treatment effects.
- If
drug reduction not possible, then 1. Compressive stockings 2.
Fludrocortisone 3. Midodrine/ Ephedrine
Psychosis
management:
Withdraw
AMANTADINE + ANTI-CHOLINERGIC + SELEGILINE
↓
DRA
↓, after that STOP
↓
LEVODOPA
minimum
↓
add atypical neuroleptics : Clozapine ( also olanzapine quietapine, RISPERIDONE )
Causes of
Benign Essential Tremor:
- Resting
Tremor = Parkinson's disease
- Intention
tremor= Cerebellar syndrome
- Postural
tremor= Alcohol, Anxiety, Thyrotoxicosis, Metabolic ( ↑CO2,
Hepatic Encephalopathy)
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