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* <u>Traitement:</u> Dopamine agonists are the preferred initial first-line medication in patients younger than 65 years and levodopa is the preferred initial therapy in older patients. | * <u>Traitement:</u> Dopamine agonists are the preferred initial first-line medication in patients younger than 65 years and levodopa is the preferred initial therapy in older patients. | ||
** Deep brain stimulation is indicated for patients who continue to benefit from levodopa but experience severe motor fluctuations or have a refractory tremor. | ** Deep brain stimulation is indicated for patients who continue to benefit from levodopa but experience severe motor fluctuations or have a refractory tremor. | ||
| + | === Paralysie supranucléaire === | ||
| + | [[Fichier:Paralysie supranucléaire vs Parkinson.png|400px|vignette|centré|Source: https://cref-demrares.fr/Les-Paralysies-Supranucleaires-Progressives-PSP]] | ||
== Références == | == Références == | ||
[[Category:Neurologie]] | [[Category:Neurologie]] | ||
[[Category:Gériatrie]] | [[Category:Gériatrie]] | ||
Version du 12 juin 2020 à 22:22
Parkinsonisme
Maladie de Parkinson
- Diagnostic:
- Signes cardinaux:
- tremor de repos
- bradykinésie
- rigidité
- trouble de la démarche et de l'équilibre
- The diagnosis of Parkinson disease requires the presence of bradykinesia and at least one other cardinal feature and the absence of red flags for atypical forms of parkinsonism
- Signes cardinaux:
- Traitement: Dopamine agonists are the preferred initial first-line medication in patients younger than 65 years and levodopa is the preferred initial therapy in older patients.
- Deep brain stimulation is indicated for patients who continue to benefit from levodopa but experience severe motor fluctuations or have a refractory tremor.
