clinical features
Last reviewed 01/2018
Parkinsonism usually occurs in subjects over 40 years of age.
The symptoms and signs associated with parkinsonism include (1):
- hypokinesia ( poverty of movement)
- bradykinesia (slowness of movement)
- rigidity
- rest tremor
The clinical features of parkinsonism are often initially unilateral. They may present as :
- coarse tremor present at rest
- pill-rolling movements
- cogwheel rigidity
- slowness of movement
- speech is typically monotonous, soft, faint, and lacking intonation
- expressionless face; dribbling
- small writing is characteristic - micrographia
- shuffling parkinsonian gait - festination
- oculogyric crises - forced upward deviation of the eyes - may occur in post-encephalitic or drug-induced parkinsonism
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