Parkinson's disease is a chronic disease, there are many symptoms, the progress of each Parkinson's disease is different, individual differences are very large, most patients progress relatively slowly, norm ** is an important factor in delaying the condition of Parkinson's disease patients. In order to further confirm whether Parkinson's disease is present, it is necessary to make an appointment for a medopar shock test to confirm the diagnosis and then make further adjustments to the drug. Early diagnosis of Parkinson's disease is crucial, and many patients are prone to misdiagnosis.
How to diagnose Parkinson's disease?
1. Differential diagnosis: often mistaken for senile dementia: 30%-40% of Parkinson's patients do not have hand tremors in the early stage. Because these Parkinson's patients will be accompanied by so-called "non-motor symptoms of Parkinson's disease" such as nervousness, worry, restlessness, insomnia, etc., they are sometimes regarded as Alzheimer's disease by doctors and family members in the early stage**.
2. Distinguish from other diseases: The early symptoms of Parkinson's disease are not very obvious and are often confused with other diseases. The diagnosis of Parkinson's disease is distinguished from hysterical, catatonias, and senile tremor. At the same time, it is necessary to rule out Parkinson's disease caused by encephalitis, cerebrovascular disease, poisoning, trauma, etc.
3. Symptom diagnosis: The main symptoms of Parkinson's are tremor, muscle rigidity, bradykinesia, abnormal posture and gait, and dyskinesia of the mouth, pharynx and palatine muscles. Parkinson's neurological symptoms also include oily surface, constipation, abnormal sweating, excessive salivation, and nearly half of patients have depression or sleep disorders.
4. Medopa, Xining: It is effective with Medopar or Xining, and it can be preliminarily judged to be Parkinson's disease, and it is only preliminary!There are some Parkinson's diseases, which are also effective for Medopar in the early days, and even dyskinesia, but the final diagnosis is not primary Parkinson's disease. There are also primary Parkinson's diseases, with medopa or oxyning, the effect is not obvious.
5. Evaluation of the efficacy of dopaminergic drugs.
To put it simply, it is to use a specially designed medication plan to see how effective it is for patients, and the evaluation of the effect is not said by the patients themselves, and short-term hospitalization is required to make a scale.
6. Imaging examination.
MRI (magnetic resonance imaging) of the head
You can look at the basic condition of the brain, which is generally used as a basic examination item in neurology, which is helpful to distinguish Parkinson's disease from some Parkinson's diseases.
Ultrasound of the substantia nigra (TCS): Specifically looking at the substantia nigra, Parkinson's disease is mainly a problem with the substantia nigra. If there is a problem with the substantia nigra, Parkinson's disease can be highly determined, and if further certainty is desired, PET testing may be considered.
DAT-PET: It is the most accurate examination item in the auxiliary examination of Parkinson's disease, and the cost is high, if you plan to have surgery, you must do this examination first, and if primary Parkinson's disease is ruled out, you will not need surgery.