Atypical Parkinsonism vs Parkinson’s Disease

[@michellegrovak]

I was diagnosed with PD with no improvement with levodopa. You have inspired me to make another appointment with the neurologist. Thank you.

[@parkinsonsdiseaseeducation]

My pleasure to help! I hope you can get some answers.

[@HelloImPamela]

Awesome! Thank you for covering this topic on a Sat,. Wow!. We will be there. Yay! 🙂

[@parkinsonsdiseaseeducation]

Well it’s not a live video, but you’re welcome! It will be a premiere, which means I will be able to watch it show for the first time and there is a live chat.

[@guguball7758]

Wow very informative 👏 👌 thank you Doctor

[@parkinsonsdiseaseeducation]

Glad it was helpful! Thanks for the comment Gugu!

[@shameemhabib1974]

Great information thanks Dr.😊

[@parkinsonsdiseaseeducation]

Thank you Shameem, I’m so glad

[@PatriciaNally-t5u]

Husband diagnosed with MSA. Ev everything you mentioned was spot on!

[@parkinsonsdiseaseeducation]

Glad to know my description was accurate. Something I actually forgot to mention altogether was the “purple glove” test. I’ll have to do a follow up episode on that

[@susanedghill9234]

I’d love to hear. NPH and Parkinsonism compared. Dignosed w NPH because of falls incontinence memory and gait. Then Dr told me to also check into PD My MDS said not Parkinson’s but need genetic test ! I first started falling backwards about 10 years ago damaged my spine hit my head. I’m sure… but still can’t get a definite answer. I did have the surgery for NPH, but I’m still having all the symptoms and even worse my short-term memory has completely gone! I’m 77 and hope to stay with my grandchildren a little longer.. but this is not a good way to live ,,: Always fatigued, no energy apathy depressed. have major depressive disorder. Just so ready to give up

[@parkinsonsdiseaseeducation]

NPH is a tough diagnosis. I treated a patient with this a couple of years ago. I’d be happy to cover this topic!

[@marya4717]

Great overview on Atypical Parkinson's! I found it very informative and to the point. I have regular PD and was diagnosed five years ago. Thankfully, I'm still having good control with meds and exercise. I am subscribed and thank you for all of your efforts on educating about this disease. I'm curious, however, you alluded to one of your "patients" so would you be willing to address your qualifications or if you're a physician of some type? Perhaps I've overlooked the information.

[@parkinsonsdiseaseeducation]

Thank you Mary, I’m glad you felt this was valuable. I don’t mind at all, I’m a Doctor of Physical Therapy and I’ve been in clinical practice for almost 13 years.

[@vladimircebu]

THaaaaaaaaaaaaaaaaank you very much Doc!

[@parkinsonsdiseaseeducation]

You’re very welcome, I am glad this was helpful

[@MKD319]

Spouse just got diagnosed with Parkinson's There were so many things in your video that has been experienced. I'm starting to wonder if it's Atypical .

[@parkinsonsdiseaseeducation]

It’s hard to say for sure, especially early on. Has your spouse’s neuro suggested any further testing?

[@ep7014]

Thanks I was diagnosed with psp after several years with Parkinson’s diagnosis

[@parkinsonsdiseaseeducation]

Thanks for sharing. Once you knew it wasn’t Parkinson’s, how did that shift things in your approach to dealing with things.

[@ep7014]

It’s been a rough road but trying to stay positive;l

[@donnaleroy1717]

Ty

[@parkinsonsdiseaseeducation]

Most welcome!

[@JM-vh7oc]

One of my relatives have this. Curious - is visual snow one of the symptoms associated with PD?

[@parkinsonsdiseaseeducation]

That’s a great question. I am not 100% certain, but I’ve never heard of this being associated with PD

[@JM-vh7oc]

I have visual snow also and curious about the answer especially since you say visual hallucinations can be associated with LBD.

[@parkinsonsdiseaseeducation]

The answer is visual snow is not likely linked to Parkinson’s

[@thugbuster]

Good Info, but wouldn't MSA be included as an synucleinopathy and not a tauopathy? My wife was recently diagnosed with MSA and specifically had the skin biopsy which showed alpha-synuclein build-up. Thanks for the info!

[@parkinsonsdiseaseeducation]

My goodness you are so right. I need to talk about that in a live video soon, but you are correct. MSA, LBD, and PD are synucleinopathies and PSP and CBD are tauopathies. Thanks for pointing this out, I misspoke

[@thugbuster]

@@parkinsonsdiseaseeducation Thanks! I just want folks to know what conditions could be detected by the skin biopsy. It takes way to long to get diagnosed and more skin biopsy testing may help shorten that time.

[@parkinsonsdiseaseeducation]

@thugbuster I agree, I plan to address that as part of one of the next episodes.

[@shaikezazulhaq1067]

In early stages parkinson tremor in fingers start with resting tremor or action tremor

[@parkinsonsdiseaseeducation]

Resting tremor. Action tremor would likely indicate a different pathology in the brain. For example, cerebellar ataxia.

[@WerOpk-h5l]

Anxiety tremors effect all fingers like parkinson tremors

[@parkinsonsdiseaseeducation]

I’m not sure where you’re going with that, but I think you’re saying that anxiety may trigger tremors in a PwP, which is true. And I think you’re also saying that anxiety induced tremors may appear similar to PD tremors. That’s also true. Tremors are a tricky way to look at these diagnoses as tremors are NOT unique to Parkinson’s. Also, up to 30% of individuals with PD DO NOT have tremors.