Secondary Symptoms of PD (long)

["J. R. Bruman" <jrbruman@xxxxxxxxxxx>]

Secondary Symptoms of PD                    April 2000

A couple of years ago, I set out to collect and organize all I
knew about the myriad effects of PD, other than the "classic
triad" symptoms of tremor, rigidity, and bradykinesia. Not so
much for diagnosis as a clue about what might be expected, and
how to deal with it. This turned into a 20-page document, which
at the time I thought too big and of too narrow interest to
post in this e-mail forum, aside from occasional brief extracts
to answer specific inquiries. But the recent and very rapid
evolution of the www into a resource reference vehicle has
changed my mind. If anyone can use this stuff why not share it.
The Table Of Contents is also the outline, which I shall follow
in posting a few pages at a time to avoid overloading the
email system. And please remember, the statements are my own
opinions only, with no pretension whatever to medical authority.

              CONTENTS

EXTERNAL MOVEMENT PROBLEMS..................................1
   BRADYKINESIA.............................................1
      Slowness..............................................1
      Poverty Of Motion.....................................1
   RIGIDITY.................................................2
      Persistent Tension....................................2
      Blank Expression......................................2
      Stooped Posture.......................................2
   SELECTIVE WEAKNESS.......................................2
      Swallowing Weakness...................................2
      Limb Weakness.........................................2
   TREMOR...................................................3
      Resting Tremor........................................3
      Intention Tremor......................................3
      Action Tremor.........................................3
      Dyskinetic Tremor.....................................3
   FLUCTUATIONS.............................................4
      PEAK-DOSE EFFECTS.....................................4
         Dyskinesia.........................................5
         Drug-Induced Tremor................................5
      END-OF-DOSE EFFECTS...................................5
         Wearing-Off........................................5
         On-Off.............................................5
         Dystonia (Cramp)...................................5
         Lethargy...........................................5
      STRESS................................................6
         Chronic Fatigue....................................6
         Quick Exhaustion...................................6
   BALANCE..................................................6
      Posture...............................................6
      Falling...............................................6
   GAIT.....................................................7
      Toe Dragging..........................................7
      Shuffling.............................................7
      Shortened Stride......................................7
      Festination...........................................7
      Freezing..............................................7
   COORDINATION.............................................8
      Mis-position..........................................8
      Mis-direction.........................................8
      Slowness..............................................8
      Bilateral Ability.....................................8
      Fine Guidance.........................................8
   EYE CONTROL..............................................9
      Jitter................................................9
      Convergence...........................................9
   SPEECH PROBLEMS..........................................9
      Voice.................................................9
      Slurring..............................................9
      Stuttering............................................9
   FRIGHT REFLEXES.........................................10
      Blink Reflex.........................................10
      Startle Reflex.......................................10
                                                       (next)
               CONTENTS (cont.)

INTERNAL REGULATION PROBLEMS..............................11
   CONSTIPATION...........................................11
   SEXUAL DYSFUNCTION.....................................11
      Abnormal Libido.....................................11
      Impotence...........................................11
   MENSTRUAL EFFECTS......................................11
   URINARY DYSFUNCTION....................................12
      Incontinence........................................12
      Retention...........................................12
      Color In Urine......................................12
   EXUDATIONS.............................................13
      Drooling............................................13
      Runny Nose..........................................13
      Sweating............................................13
      Seborrhea...........................................13
      Dandruff............................................13
      Skin Cysts..........................................13
      Blepharitis.........................................13
   LOW BLOOD PRESSURE.....................................14
   PROLACTINEMIA..........................................14
   THERMAL CONTROL........................................14
   NAUSEA.................................................14

SENSORY DYSFUNCTION.......................................15
   VISION EFFECTS.........................................15
      Color Perception....................................15
      Contrast Perception.................................15
   TEMPERATURE SENSATION..................................15
   MECHANICAL SENSATION...................................15
   SMELL AND TASTE........................................15
   TINNITUS...............................................15

MENTAL SYMPTOMS...........................................16
   ATTENTION DEFICIT......................................16
   MEMORY.................................................16
      Short-Term Memory...................................16
      Habit And Rote Learning.............................16
      Pattern Recognition.................................16
   SLEEP DISTURBANCE......................................17
      Interruption........................................17
      Vivid Dreams........................................17
      Violence............................................17
   HALLUCINATIONS.........................................17
      Visual..............................................17
      Auditory............................................17
   DEPRESSION.............................................18
      Clinical Depression.................................18
      Mood Swings.........................................18
   BRADYPHRENIA...........................................18

Cheers,
Joe
--
J. R. Bruman   (818) 789-3694
3527 Cody Road
Sherman Oaks, CA 91403-5013