Parkinson’s disease was first described in 1817 by James Parkinson as slowing in movements, rigidity in the muscles, tremors in the hands and the tremors in the cane and balance. The disease mainly affects the movement system, but in the course of time memory disorders of forgetfulness arise. The disease is rare under 40 years of age and its frequency increases with age. The exact cause of the disease is unknown. Movement disorders begin when the brain has impaired dopaminergic neurons and dopamine secretion falls below 60%. The disease is progressive and we try to replace dopaminergic dopamine in the brain, but falling episodes and forgetfulness can be accompanied during the course of the disease. The diagnosis of the disease is based on clinical findings.
The most important clinical findings
•Rest tremor: Typically, moving the hands as tremble in the form of counting money, and sometimes there is tremor in the leg or the candle.
•Slowing movements, difficulty in starting to move can be described as a feeling of weight by the patient.
•In the medical examination of the patient, stiffness in the muscles, especially in the wrist and in the neck is known.
•Walking with small step forward is characteristic for Parkinson’s disease.
Briefly: Neurological examination should be performed in elderly patients who walk with small steps in a forward inclined position, movements and slowness in thinking, tremors in hands or feet, increase in the frequency of falls, and without having to think about Parkinson’s disease.