Methods of Diagnosing Parkinson's Disease

Written by Zhou Yan
Geriatrics
Updated on February 25, 2025
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In the auxiliary examinations for Parkinson's disease, routine laboratory tests as well as CT and MRI scans of the head generally show no specific changes. However, in molecular imaging, PET CT can reveal a significant decrease in striatal dopamine transporter. For olfactory tests, over 80% of Parkinson's patients exhibit olfactory dysfunction. Doppler ultrasound can also detect a significant enhancement of the substantia nigra signal. Despite these advancements in auxiliary examinations, diagnosis in patients with Parkinson's disease still primarily relies on clinical evaluation. According to the 2015 criteria, the diagnostic standards are still based on clinical diagnosis, which includes two main points: first, bradykinesia, where voluntary movements are slow and the speed and amplitude of repetitive movements progressively decrease; second, at least one of the following two manifestations must be present: muscular rigidity or resting tremor.

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Written by Zhang Hui
Neurology
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What foods should be eaten for Parkinson's disease?

Parkinson's disease does not have any specific dietary restrictions, but the following aspects are recommended for patients: First, patients should consume more laxative vegetables and fruits, such as spinach, bananas, and celery, which help maintain the motility of the large intestine and promote bowel movements. Since many Parkinson's patients suffer from constipation, these foods can greatly improve their bowel movements and are recommended. Second, Parkinson's patients can also eat foods that nourish brain cells, such as pine nuts, walnuts, and pistachios. Third, patients may consume some plant oils, mainly olive oil, which can also play a good regulatory role. Fourth, Parkinson's patients should be cautious about the timing of protein intake in relation to their medication schedule, to avoid affecting the absorption of the medication.

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Written by Zhang Hui
Neurology
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Can Parkinson's patients drink alcohol?

It is recommended that patients with Parkinson's disease avoid drinking alcohol. This is because the condition in Parkinson's patients is caused by the death of certain neurons in the substantia nigra of the midbrain. It is well-known that alcohol has a direct damaging effect on neurons. Therefore, drinking alcohol could potentially worsen the symptoms of Parkinson's disease, and it is advised not to drink alcohol. Additionally, patients with Parkinson's disease are prone to panic and unstable gait. If alcohol consumption affects the function of the cerebellum, it will exacerbate the patient's instability in walking, making them very prone to falls and potentially causing complications such as fractures. Furthermore, drinking alcohol can lead to orthostatic hypotension, which is a lower blood pressure when standing up. Parkinson's disease itself can also cause this type of orthostatic hypotension, and the combination of the two can cause a significant drop in blood pressure in patients, posing a risk when standing.

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

Parkinson's disease is not a terrifying disease, as its onset is relatively hidden and slow, with gradual progression. Many patients can significantly improve their symptoms, prolong their lives, and enhance their quality of life through rehabilitation training and medication. However, there is no effective cure for Parkinson's disease at this time; current treatments only relieve symptoms and improve quality of life. Patients with Parkinson's should not be afraid and must regularly visit neurology outpatient clinics for follow-up. Neurologists will provide appropriate medications for Parkinson’s and guide the daily life of patients. Moreover, patients must prevent falls. Parkinson's is not a terrifying disease; what is dangerous is arbitrarily stopping or reducing medication without listening to the doctor's advice. (Note: This answer is for reference only, medication should be taken under the guidance of a professional physician, and medications should not be taken blindly.)

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Written by Zhang Hui
Neurology
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What department to see for Parkinson's disease?

Parkinson's disease is a very common degenerative neurological disorder in neurology, so if you go for treatment, you should definitely see a neurologist. Many neurologists have a high level of expertise in Parkinson's disease and have extensive experience in its diagnosis, differential diagnosis, and treatment. Patients with Parkinson's disease generally exhibit significant motor slowness, such as dressing, buttoning, wrapping dumplings, and eating very slowly, and they also walk very slowly. In addition, they may also display obvious resting tremors, muscle rigidity, general fatigue, unstable walking posture, and other clinical manifestations. Moreover, they might experience some constipation, anxiety, depression, and reduced sense of smell among other related clinical symptoms. Therefore, for this disease, visiting a neurologist is sufficient, and you can definitely expect a very satisfactory diagnosis and treatment.

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Written by Zhou Yan
Geriatrics
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What are the symptoms of Parkinson's disease?

The main symptoms of Parkinson's disease are divided into two major categories: motor symptoms and non-motor symptoms. The motor symptoms include bradykinesia and hypokinesia, specifically characterized by slow movement speed and reduced amplitude. In daily life, this results in clumsiness with actions such as difficulty standing up, small arm swings while walking, or even no swinging at all, a lack of facial expressions, and progressively smaller handwriting. The second type is resting tremor, which includes pill-rolling movements along with muscle rigidity and postural and gait imbalances, such as a panicked gait or taking very small steps that accelerate and become faster without the ability to stop or turn promptly. Non-motor symptoms include issues such as olfactory dysfunction, sleep disturbances, constipation, and depression.