请问这是不是帕金森症？

Ringbo · 发表于 2010-7-10 10:38

我爸七十多，最近这两年手抖得比较厉害，嘴也有点抖，但头脑和动作都很敏捷，医生说他得的是帕金森症。可是我爸从十几岁就开始手有点抖，四十几岁时他手上拿着报纸在看，旁边的人就比较难和他一块看了。我是说一直就有点这毛病，这到底是帕金森症呢？还是遗传的影响？因为我远远没有我爸严重，但是，细心观察，做细活的时候手也微微有点抖，包括我弟。

ayakao · 发表于 2010-7-10 14:39

首先，不要混淆Parkinsonism(帕金森症）和Parkinson's Disease(帕金森病），从你的描述上看，特别是
“动作都很敏捷”一说，你父亲不象是帕金森病，更相是帕金森症的一种。而帕金森症及帕金森病极少遗传。如果你和你家人都有类似症状，很可能患有Essential Tremor(对不起，一时想不起中文对应病名）。建议：去看Specilized的神经科专科医生（Neurologist Specialized in Movement Disorders).

Ringbo · 发表于 2010-7-10 16:15

谢谢你的介绍。可是我爸这两年按医生的吩咐，服用Levodopa & Benserazide Hydrochloride Tablets, 会有不好的影响吗？从长远看，这种Movement Disorders会有什么影响？其实，我和我爸的竞技运动水平都挺高的，这两者应该没有什么关联吧？

ayakao · 发表于 2010-7-10 18:01

看来医生是按帕金森病用药了，或着是说他根本就不肯定而在试用---一般的说应该是国内医生的做法。这边用这种药的话是非常谨慎的--因为这种药长期副作用较多，特别是药物失效和Dyskinsia(不知中文说法）。

“我和我爸的竞技运动水平都挺高的，这两者应该没有什么关联吧？”------你可以搜一下这方面的科普知识就明白些。帕金森病是一种神经变性性疾病（Neurodegenerative Disease),但是看专科医是要看专长于Movement Disorders的神经科医。

weidsun · 发表于 2010-7-12 20:58

本帖最后由 weidsun 于 2010-7-12 22:10 编辑

Of course it's difficult to determine whether if your father has Parkinson's simply from the 3 lines of information you provided.  It doesn't sound like your father has Parkinson's if he's had the same type of tremor since a much younger age, as I would expect him to have deteriorated significantly since that time.
Now a Parkinson's tremor has some features:
a) The tremor is asymmetric, usually one sided or both sides with one side much worse.
b) The tremor is primarily at rest and improves when the patient uses his hands.

An Essential tremor is different, may be symmetrical and is worse when he reaches out to do things.

With respect to mental/cognitive ability, it typically would not deteriorate in the early course of Parkinson's.  On the other hand if your father truly has Parkinson's he should not be agile in the way you mentioned.

At the end of the day I don't think taking a course of medication is a bad idea as it can provide diagnostic information.  However, I would lean towards thinking your dad has an essential tremor, which is the most common type of tremor and has high inheritance rates.  In that case a different medication like Propranolol would be more appropriate.  Then again, you can't trust someone who didn't even lay eyes on your father.

Let me know if I can be of any other help

Acup2 · 发表于 2010-8-6 11:45

无论是Parkinsonism(帕金森症）还是Parkinson's Disease(帕金森病），西医没有好办法．　还是试一试中医吧．对于这种震颤性疾病，中医需要判断是属于外风侵入还是内风生成，拟或是痰火堵塞经络．无论您懂还是不懂中医的术语，没有关系，应该让他们试一试中医．不可否认，这种震颤性疾病，如同各种癫痫发作，各种偏瘫，对中医也是个挑战，不是那么好治的．将震颤程度降低到不影响吃饭穿衣写字还是有可能的．

当然，关键是那个医生給他们治病．如果一个两个中医医生看不好，不要说中医没有效．天下之大，能人有的是．看我们的运气了．不管我们喜欢不喜欢听这么说，但目前的现状就是如此．中医好比餐馆，各家都不同．西医如同麦当劳，到那儿都差不多．

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