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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Parkinsonism usually occurs in subjects over 40 years of age.

The symptoms and signs associated with parkinsonism include (1):

  • hypokinesia ( poverty of movement)
  • bradykinesia (slowness of movement)
  • rigidity
  • rest tremor

The clinical features of parkinsonism are often initially unilateral. They may present as :

  • coarse tremor present at rest
  • pill-rolling movements
  • cogwheel rigidity
  • slowness of movement
  • speech is typically monotonous, soft, faint, and lacking intonation
  • expressionless face; dribbling
  • small writing is characteristic - micrographia
  • shuffling parkinsonian gait - festination
  • oculogyric crises - forced upward deviation of the eyes - may occur in post-encephalitic or drug-induced parkinsonism

Reference:


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