Causes of Parkinson's Disease

Written by Zhang Hui
Neurology
Updated on September 21, 2024
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The cause of Parkinson's disease is mainly due to a part of the brain called the brainstem, which has some black moles and clusters containing a large number of neurons that can produce dopamine. The death of these neurons in the substantia nigra of the midbrain, caused by various factors, leads to Parkinson's disease. This results in noticeable slowness of movement in the limbs, muscle rigidity, as well as tremors, and unstable walking and other clinical manifestations. The causes of the death of dopaminergic neurons in the substantia nigra include genetic factors. Additionally, age is the biggest cause of the disease. Furthermore, dysfunctions in mitochondrial function, ischemia and hypoxia in the midbrain, certain traumas, and the use of drugs that deplete dopamine can all potentially cause Parkinson's disease.

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Written by Liu Hong Mei
Neurology
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Parkinson's disease Braak staging

Parkinson's disease Braak staging is generally divided into five stages: Stage 1 refers to unilateral symptoms only, such as tremors or stiffness in one hand or one foot, with symptoms confined to one side of the body and not crossing the midline. Stage 2 refers to mild symptoms on both sides, such as tremors in both hands or throughout the body, but without impairment of balance. Stage 3 refers to more pronounced bilateral symptoms, such as difficulty lifting legs, taking small shuffling steps, leaning forward, or instability when holding a bowl while eating, but capable of living normally. Stage 4 refers to the loss of most of the ability for autonomous activity. Stage 5 refers to a complete loss of the ability to live independently.

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Written by Zhang Hui
Neurology
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Early symptoms of Parkinson's disease.

Parkinson's disease is a relatively common degenerative disease in the elderly, primarily causing the death of dopamine neurons in the substantia nigra of the midbrain, leading to corresponding clinical manifestations. Research has confirmed that other systems may also be damaged in the early stages of Parkinson's disease symptoms. The early symptoms may primarily include: First, patients experience persistent constipation, which is a very important early symptom of Parkinson's disease. Second, some patients may experience sleep disturbances, mainly characterized by tossing and turning, shouting out loud during sleep, without being aware of it. Additionally, some patients in the early stages may also experience a reduced sense of smell, constipation, cognitive impairment, and other clinical manifestations. There are also some early motor symptoms, mainly that the patient becomes clumsy and inflexible in the movements of one side of the body. These are the early symptoms of Parkinson's disease.

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Written by Zhang Hui
Neurology
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How does one get Parkinson's disease?

Parkinson's disease is a degenerative disease of the nervous system. The actual mechanism of the disease is not very clear, and its fundamental cause has not yet been identified. It is generally believed that Parkinson's disease is mainly caused by the following factors. First, genetic factors. Some cases of Parkinson's disease have a clear familial tendency, where patients may experience mutations in synaptic nuclear protein genes, leading to abnormal aggregation of these proteins. This abnormal aggregation can damage the neurons in the substantia nigra of the midbrain, leading to Parkinson's disease. Second, there are some external factors related to sporadic cases of Parkinson's. These may be closely related to oxidative stress, trauma, poisoning, or an excessive stress response of the body. However, the specific cause is not very clear. Parkinson's disease, which causes symptoms such as bradykinesia, tremors, and rigidity, requires active treatment to improve the quality of life of the patients.

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Written by Zhang Hui
Neurology
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Is Parkinson's disease hereditary?

Parkinson's disease is mainly divided into two types. One type is familial Parkinson's disease, which definitely has a clear genetic predisposition. This disease is caused by mutations in some genes that lead to disruptions in some internal environments and the accumulation of abnormal proteins, eventually causing the death of neurons. Since the disease is caused by genetic mutations, there is definitely a certain genetic predisposition, and reproductive counseling is necessary to prevent the birth of offspring with Parkinson's disease. Moreover, most cases of Parkinson's disease are sporadic, and these diseases may be related to acquired factors, such as long-term mental stress, excessive pressure, brain trauma, or cerebrovascular diseases in patients, which can all lead to Parkinson's disease. This type of disease is definitely not inherited, so there is no need to worry too much.

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Written by Zhang Hui
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What is Parkinson's disease gait?

Patients with Parkinson's disease have a distinctive gait; typically, their torso leans forward, and their arms do not move much. When they walk, they exhibit a hurried gait with short, scurrying steps. That is, they take small steps that progressively get faster and faster, making stopping very difficult when they reach their destination. This is a typical scenario often referred to as a "scampering gait." Many experienced doctors can frame a preliminary diagnosis of Parkinson's disease just by observing the patient’s walk. Parkinson's disease also leads to unstable posture and gait, increasing the risk of falls and fractures. Therefore, it's important to take precautions at home by installing handrails to assist the patient in standing and walking, preventing accidental injuries.