Abstract

The following is the Parkinson’s disease case study of a 47-year-old female who was a teacher diagnosed with early stages of idiopathic Parkinson’s. It causes gait problems, increased stiffness and restricted range of motion, cogwheel rigidity, resting tremor, and specific coordination impairments. Patient-centred goals included raising the Timed-Up and Go (TUG) score, improving ROM and coordination, and traversing her house more quickly. A 4-week “LSVT Big”-style training program with supervised training, home exercise program, and instructional component was proposed to achieve these aims. The patient’s balance, gait, and parkinsonism improve after this training regimen. Her confidence has grown, and she is less anxious than she was at first.

Patient: Female, 47

Final diagnosis: Parkinson’s disease

Parkinson’s disease signs with Symptoms: Tremor, slowness of movement (bradykinesia), muscles rigidity, damaged balance and posture, reduction of automatic trends, changes in speech, changes in writing.

Speciality: Neurology

This case is the case study on Parkinson’s disease. The 47-year-old female who was a teacher has been diagnosed with early stages of idiopathic Parkinson’s. The following is the Parkinson’s disease case study.

Objective

The objective is to understand the causes, symptoms, and treatment of Parkinson’s disease. This will also help to suggest a Parkinson’s disease care plan to the patient.

Background

Parkinson’s disease is a highly degenerative sickness of the neurological system that impairs mobility. The best neuro physician in Patna states that the symptoms begin gradually, sometimes with a barely perceptible tremor in only one hand. While tremors are prevalent, the condition frequently results in stiffness or slowed mobility.

The best neuro physician in Patna provides further inputs by saying that a person’s face may exhibit little or no expression during the early stages of Parkinson’s disease. When they walk, their arms may not swing freely. Their speech may become slurred or soft. Parkinson’s disease symptoms progressively increase as the disease advances.

While Parkinson’s disease cannot be cured, medicines can significantly alleviate symptoms. At times, the doctor may recommend surgery to control specific brain areas and ease the symptoms.

Review

A 47-year-old female experienced a fall in her kitchen suddenly. Her family members told her that she was not smiling and had a straight expressionless face in any situation. She also had difficulty in writing, and her speech became soft and slurred. It came to the notice of the lady that there was a slowness in her movements, and she was taking more time in her routine activities than needed.

She visited her family physician for a routine check-up and presented her problems to him. She was immediately referred to contact a neurologist.

The patient had a history of depression. She had also suffered malaria a couple of times along with typhoid and smallpox when she was young enough, and since then, she had been complaining of her right-hand pain. She was also a patient of cervical spondylitis. But she was independent in her activities. But recently, she was facing issues regarding her balance and inability to participate in some activities.

Case Discussion

Parkinson’s disease is caused due to genetic markers or even exposure to toxins or environmental factors. Reduction in dopamine levels is the chief Parkinson’s disease cause. When dopamine levels decrease, they cause abnormal brain activity leading to impaired movement and other symptoms of Parkinson’s disease.

The patient had been consuming painkillers and muscle relaxants for two years. The patient consulted a famous neurologist in Patna. During the discussion of the case and clinical examination for noting the patient’s Parkinson’s disease case history, the patient was found to have slight muscular deconditioning. She also suffered from mild right-hand stiffness, a slightly masked face full, slowness in movements, moderate kyphotic forward head posture, and mild bradykinesia with a soft voice.

One of the main risk factors of Parkinson’s disease is depression and lack of social support.

Clinical symptoms

Parkinson’s disease case presentation revealed the most prominent and evident Parkinson’s disease signs and symptoms in the Parkinson’s disease cases as slowness in movement and a droopy poster. Among other problems, Parkinson’s disease patients have thinking difficulties, swallowing problems, chewing and eating problems, depression, and emotional changes, sleep problems, and sleep disorders. Amongst other symptoms, the Parkinson’s disease patient will face blood pressure changes, fatigue, pain, smell dysfunction, sexual dysfunction, bladder problems, and constipation.

According to the Parkinson’s disease case report, she had clear and visible symptoms of forward-leaning posture, slow movements, difficulty in writing with the rigidness of fingers and joints.

Management

There are several Parkinson’s disease management techniques. To begin with, Levodopa is the primary treatment for Parkinson’s disease.

Dopamine agonists are options for initial treatment and have been known to delay the onset of motor complications.

Additionally, there are many other medications available to treat Parkinson’s disease symptoms, although there are no medicines available that can reverse the effects of the disease. The best neuro physician in Patna alerts people who have Parkinson’s disease that they have to be vigilant regarding their different medicines and their doses and avoid unpleasant ‘off’ periods due to missed doses. There are as such no Parkinson’s disease management guidelines available as of now.

Regular aerobic exercises, yoga, meditation, static cycling, etc., can help manage the Parkinson’s disease sentence symptoms.

Routine check-ups and proper treatment can control the symptoms of Parkinson’s disease. Suppose you are experiencing any of the symptoms of Parkinson’s disease as mentioned above. In that case, you are free to contact a neurologist, mind doctor in Delhi, brain specialist doctor in Delhi, or opt for a neurologist online consultation.

Services are available in different cities. You can contact a top neurologist in Jaipur, a mind doctor in agra, the best neurologist in Faridabad, a top neurosurgeon in Patna, and a neurosurgeon, Gwalior neurologist Doctor, a Famous neurologist in Patna, and best neuro physician in Patna.

FAQs

1. How is Parkinson’s disease diagnosed?

Regrettably, no one test exists to identify Parkinson’s disease (PD). If PD is suspected, the patient should consult a neurologist with advanced training in movement disorders to evaluate disease signs and symptoms. The evaluation often begins with inquiries regarding the patient’s history and is followed by a neurologic examination.

PD is often diagnosed by a medical history and physical examination or by a neurological exam. Imaging examinations such as MRI (magnetic resonance imaging), PET (positron emission tomography) scans, or DaTscans are prohibitively costly and rarely utilized.

2. Who is at the risk of developing Parkinson’s disease?

Parkinson’s disease rises with age, although it can also affect younger people (called “young-onset PD” or YOPD). While scientists have established that some environmental variables (such as exposure to specific chemicals or medicines) may contribute to the development of PD symptoms, they believe that PD is often caused by a mix of predisposing genetic traits and “triggering” events.

3. What therapy options are available for Parkinson’s disease?

Parkinson’s disease is incurable at the moment, and there are no known therapies to halt, reduce or reverse its course. However, several treatments may be beneficial. Medications and surgeries and physiotherapy, vocational, and speech therapy are all possible treatment choices.