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Parkinsonismo secundario - Symptom

Nombres alternativos

Parkinsonismo de tipo secundario

Síntomas:

Los síntomas del parkinsonismo pueden comprender:

  • Disminución en la expresión facial
  • Dificultad para comenzar y controlar el movimiento
  • Voz suave
  • Algunos tipos de parálisis
  • Rigidez del tronco, los brazos o las piernas
  • Temblor

Aunque los problemas cognitivos no son comunes en el mal de Parkinson, pueden ser más probables en el parkinsonismo secundario. Esto se debe a que las enfermedades que causan este último con mucha frecuencia llevan a que se presente demencia.

Para obtener una descripción más detallada de los síntomas, ver el artículo: mal de Parkinson.

Pruebas y exámenes:

El médico puede diagnosticar el parkinsonismo secundario con base en su historia clínica, los síntomas que se presentan y el examen físico. Sin embargo, los síntomas pueden ser difíciles de evaluar particularmente en los ancianos.

El examen puede mostrar:

  • Dificultad para iniciar o suspender los movimientos voluntarios
  • Aumento del tono muscular
  • Problemas con la postura
  • Marcha lenta y lerda
  • Temblores de tipo Parkinson

Los reflejos generalmente son normales.

Los exámenes generalmente no son específicos para el parkinsonismo secundario, pero se pueden utilizar para confirmar o descartar otros trastornos que pueden ocasionar síntomas similares.

  • Reviewed last on: 10/4/2010
  • Daniel Kantor, MD, Medical Director of Neurologique, Ponte Vedra, FL and President of the Florida Society of Neurology (FSN). Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Lang A. Parkinsonism. In: Goldman L, Ausiello D. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 433.

Lang AE. When and how should treatment be started in Parkinson disease? Neurology. 2009;72(7 Suppl):S39-43.

Lewitt PA. Levodopa for the treatment of Parkinson's disease. N Engl J Med. 2008;359(23):2468-76.

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