Différences entre versions de « Mouvements anormaux »
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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 === | + | === Syndromes parkinsoniens atypiques === |
| + | ==== Paralysie supranucléaire ==== | ||
[[Fichier:Paralysie supranucléaire vs Parkinson.png|400px|vignette|centré|Source: https://cref-demrares.fr/Les-Paralysies-Supranucleaires-Progressives-PSP]] | [[Fichier:Paralysie supranucléaire vs Parkinson.png|400px|vignette|centré|Source: https://cref-demrares.fr/Les-Paralysies-Supranucleaires-Progressives-PSP]] | ||
* <u>Caractéristiques:</u> Patients with progressive supranuclear palsy have parkinsonism, impairment in both ocular range of movement and saccades (very fast jumps from one eye position to another, particularly in the vertical direction), facial dystonia, axial rigidity, and prominent postural instability with early falls. | * <u>Caractéristiques:</u> Patients with progressive supranuclear palsy have parkinsonism, impairment in both ocular range of movement and saccades (very fast jumps from one eye position to another, particularly in the vertical direction), facial dystonia, axial rigidity, and prominent postural instability with early falls. | ||
| − | === Dégénérescence corticobasale === | + | ==== Dégénérescence corticobasale ==== |
== Hyperkinésie == | == Hyperkinésie == | ||
Version du 13 juin 2020 à 08:53
Hypokinésie
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.
Syndromes parkinsoniens atypiques
Paralysie supranucléaire
- Caractéristiques: Patients with progressive supranuclear palsy have parkinsonism, impairment in both ocular range of movement and saccades (very fast jumps from one eye position to another, particularly in the vertical direction), facial dystonia, axial rigidity, and prominent postural instability with early falls.
Dégénérescence corticobasale
Hyperkinésie
Syndrome des jambes sans repos
- Bilan: dosage de la ferritine → hypoferritinémie (15-75 μg/l) peut provoquer RLS
- Traitement: agoniste dopaminergique (pramipexol)
