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American Parkinson Disease Association Inc.
Parkinson’s Disease
HANDBOOK
A Guide for Patients and Their Families
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ELIZABETH BRAUN, RN
ROBERT BROWNE, DC
GARY CHU
JOSEPH CONTE
+ NICHOLAS CORRADO
GEORGE A. ESPOSITO, JR., ESQ.LISA ESPOSITO, DVM
MARIO ESPOSITO, JR
MICHAEL ESPOSITO
+ SALLY ANN ESPOSITO-BROWNE
DONNA FANELLI
ANDREW J. FINN, ESQ.
DONNA MARIE FOTI
+ VINCENT N. GATTULLO
+ FRED GREENE
ADAM B. HAHN. ESQ.
MARVIN HENICK
ELENA IMPERATO
JOHN LAGANA, JR
+ ROBERT LEVINE
SOPHIA MAESTRONE
+ JOHN Z. MARANGOS, ESQ
+ PATRICK McDERMOTT
MICHAEL MELNICKE
JOEL A. MIELE, JR.
+ JOEL A. MIELE, SR, P.E.
DONALD MULLIGAN
THOMAS K. PENETT, ESQ
MICHAEL A. PIETRANGELO, ESQ.
ROBERT PIRRELLOWILLIAM POWERS
CYNTHIA REIMER
+ RICHARD A. RUSSO
JOHN P. SCHWINNING, MD, FACS, PC
+ ELLIOT SHAPIRO, P.E.
+ J. PATRICK WAGNER
+ JERRY WELLS, ESQ
DANIEL WHEELER
Regional Representatives_______________________
BARBARA BERGER
MAXINE DUST
JOAN DUVAL
DAVID RICHTER
GLADYS TIEDEMANN
+ Executive Committee
SCIenTIfIC advISory Board
G. FREDERICK WOOTEN, MD, CHAIRMAN
JAMES BENNETT, JR., MD, PhD
MARIE-FRANCOISE CHESSELET, MD,PhD
MAHLON R. DELONG, MD
DENNIS DICKSON, MD
UN JUNG KANG, MD
LAURA MARSH, MD
ERWIN MONTGOMERY, JR., MD
MARY MARAL MOURADIAN, MD
RICHARD MYERS, PhD.JOEL S. PERLMUTTER, M.D.JACOB I. SAGE, MDMARIE SAINT-HILAIRE, MDEVAN YALE SNYDER, MD, PhDDAVID G. STANDAERT, MD. PhDRAY L. WATTS. MD
April 2010
aMerICan parKInSon dISeaSe aSSoCIaTIon, InC.
offICerS
JOEL A. MIELE, SR., P.E., President
FRED GREENE, 1st Vice President
PATRICK McDERMOTT, 2nd Vice President
JOHN Z. MARANGOS, ESQ., 3rd Vice President
ELLIOT J. SHAPIRO, P.E., 4th Vice President JERRY WELLS, ESQ., Secretary
SALLY ANN ESPOSITO- BROWNE, Treasurer
Board of dIreCTorS
Honorary CHaIrMan of reSearCH developMenT
MUHAMMAD ALI
eMerITUS Board MeMBerSHON. JOHN FUSCO
PAUL G. GAZZARA, MD
MICHAEL HALKIAS
FRANK PETRUZZI
DOROTHY REIMERS
SCOTT SCHEFRIN
JAY SPRINGER, ESQ.
MARTIN TUCHMAN
Honorary Board MeMBerS
MATILDA CUOMO
ISTAVAN F. ELEK
RICHARD GRASSO
MS. MICHAEL LEARNED
CLIFF ROBERTSON
BROOKE SHIELDS
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PARKINSON’S
DISEASE
HANDBOOK
BY
Lawrence I. Golbe, MD GG
Margery H. Mark, MD AGG=H GG
Jacob I. Sage, MD GG D=H, D=J=G= JH
D=GG
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A Message From The APDA’s President
I
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TABLE OF CONTENTS
. *DC .................................................................................1
. +g+ AD ++ ..................................................................3
A. =H=@ +MHG
B. =M +MHG
C. +MHG *@H H HH
D. +M +MHG
E. +MHG *@H H HH=, B
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1
Parkinson’s disease (PD) KG =GH G= M D. G =G =
@=HH@ H=H@ A% E**a0 &% +e Sa"!%g Pa#*0 , I@=G
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=@@GG M H GG=@M @@K GI=H = H
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3
A @ I G=G (K
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5
H H H=J H= H JH @@ H GI@HG = >IGH H
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Swallowing: @G K=H< GK@@K= ( d0*ag!a ), K
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7
A=@ =GHH= @H= M @G I = D, G=@@M
M IG G===H =GH. IG J=H= M I = IHHD, IH G JG H =H=G IG H HH D,G=@@M = H
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AM IG@ M H M MGH= MGH= =, =@I= HK, G, @G H.B@
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9
=
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III. OTHER PARKINSONISMS
D =G not @H H H
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11
(+D+), *+!a+&%!ga# dege%ea+!&% (+D). A@@ H
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HM @G, IH +&/!%
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13
=J M J= H
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IV. THE CAUSE OF
PARKINSON’S DISEASE
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15
G
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H=H'G H
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17
Loss of Dopamine-Producing Brain Cells: H MH K K
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ga%g#!a =H G H H = D. ("g@=" @ @IGHG = @@G.)
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19
Are the Mitochondria Involved?: B= @@G =< = =H
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I M @G
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21
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23
G=@= G
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Amantadine ( Symmetrel ® ): A$a%+ad!%e M
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25
GH=I@H= H
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!%!b!+& , MAO-B !%!b!+& H @J. H=HG K
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27
Seborrheic dermatitis: AH==G =H=G, G= @H=G
I G
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29
*e&+&%!% e+a"e !%!b!+&* , @= G=H@ ($LP), GH@= (@HP),
LH= (L=@P), M H=J GG=. + K IG
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GM
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J. Exercise
A I GHI=G
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32
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VII. GLOSSARY
I+a#!c!1ed KG GG- = H
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34
deep brain stimulation - @H=@ GH=I@H= H= HG H
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hallucinations - @G H= GH
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36
pallalia - GHIHH= GH= G< = D.
pallidal stimulation - @H=@ GH=I@H= H
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serotonin - %e&+a%*$!++e .
sialorrhea - @=.
striatum - H H
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w
Alabama, BirminghamUniversity of Alabama atBirmingham205-934-9100
Arizona, Phoenix
Banner Good SamaritanMedical Center602-839-3542
Arizona, TucsonUniversity of Arizona520-626-5055866-897-1261
Arkansas, Hot SpringsSt. Joseph’s RegionalHealth Center800-345-6621501-622-3990
California, Fountain ValleyOrange Coast MemorialMedical Center714-378-5022877-610-2732
California, Laguna HillsSaddleback MemorialMedical Center877-610-2732714-378-5022
California, Long BeachLong Beach MemorialMedical Center
877-610-2732714-378-5022
California, Los AngelesCedars-Sinai Health System310-423-7933877-223-3277
California, Los Angeles (UCLA)Reed NeurologicalResearch Center310-206-9799
California, NorthridgeCenter for Aging Research
818-885-8623866-499-2732
California, PasadenaHuntington Hospital626-397-2684
California, San DiegoInformation & Referral Center858-273-6763
California, StanfordStanford UniversityMedical Center650-724-6090
866-250-2414
Connecticut, New HavenHospital of Saint Raphael203-789-3936
Florida, JacksonvilleMayo Clinic, Jacksonville904-953-7030
Florida, Deerfield BeachNorth Broward Medical Center800-825-2732954-786-2305
Florida, St. Petersburg
Edward White Hospital727-328-6246
Georgia, AtlantaEmory University Schoolof Medicine404-728-6552
Illinois, Chicago
800-223-9776 (out of IL.)630-933-4383
Iowa, DesMoinesIowa Health - DesMoines
515-241-6379877-872-6386
Kentucky, LexingtonUniversity of Kentucky859-257-2732866-554-2732
Louisiana, New OrleansOchsner Clinic Foundation
Louisiana, ShreveportLouisiana State University318-675-6142
Maine, FalmouthMaine Medical Center207-781-1735800-832-4116
Maryland, BaltimoreUniversity of Maryland800-862-5457
Massachusetts, BostonBoston University Schoolof Medicine
617-638-7737800-651-8466
Minnesota, Minneapolis Abbott Northwestern HospitalMinneapolis Neuroscience Inst.612-863-5850888-302-7762
Mississippi, GulfportGulfport Memorial Hospital228-575-1330601-618-2772
Missouri, St. LouisWashington UniversityMedical Center314-362-3299
Montana, Great FallsBenefis Health Care406-455-2964800-233-9040
Nebraska, OmahaCreighton University402-449-4535866-626-7347
Nevada, Las Vegas
702-464-3132
Nevada, Reno V.A. Medical Center775-328-1715
New Hampshire, LebanonDartmouth-Hitchcock Medical Center603-650-5280
New Jersey, New Brunswick Robert Wood Johnson
University Hospital732-745-7520
New York, AlbanyThe Albany Medical College518-262-6402
New York, Far RockawayPeninsula Hospital
718-734-2876
New York, ManhattanNew York University212-983-1379
New York, Old WestburyNew York College ofOsteopathic Medicine516-626-6114
New York, SmithtownSt. Catherine’s of Siena Hospital631-862-3560
Ne York, Staten IslandStaten Island University Hospital718-226-1856
Ohio, KetteringKettering Medical Center937-903-0699
Oklahoma, TulsaHillcrest Medical Center System918-747-3747
Pennsylvania, ErieHealth South RehabilitationHospital814-456-4210
Pennsylvania, Pittsburgh Allegheny General Hospital412-441-4100
Rhode Island, Warwick Kent Hospital401-736-1046
Tennessee, MemphisMethodist Hospital901-516-0677
Tennessee, NashvilleCentennial Medical Center615-342-4635800-493-2842
Texas, Dallas
Baylor University Medical Center214-820-3800
Texas, Lubbock Convenant Hospital806-785-2732800-687-5498
Texas, San AntonioThe University of Texas HSC210-450-0551
Texas, TylerEast Texas Medical Center903-596-3648866-491-2732
Utah, Salt Lake CityUniversity of Utah801-585-2354
Vermont, BurlingtonUniversity of Vermont802-847-3366888-763-3366
Virginia, CharlottesvilleUniversity of VirginiaMedical Center434-982-4482
Washington, Seattle
University of Washington206-277-5516
Wisconsin, MadisonSt. Mary’s Hospital
608-229-7628
DEDICATED CENTERS
Armed Forces VeteransReno, NV775-328-1715
Please contact the nearest I & R Center for information regarding Support
Groups and Chapters or call the National Office at 1-800-223-2732.
Rev. 3/10
504-842-4272
New Mexico, AlbuquerqueUniversity of New Mexico877-515-4560
Young Onset CenterCentral DuPage Hospital
Winfield, IL
800-329-8387
Central DuPage Hospital
Pennsylvania, PhiladelphiaCrozer-Chester Medical Center610-447-2911
New York, Westfield
Westfield Memorial Hospital
716-793-2112
APDA Information and Referral (I & R) Centers
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American Parkinson Disease Association, Inc.
Parkinson Plaza
135 Parkinson Ave.
Staten Island, NY 10305-19461-800-223-2732
www.apdaparkinson.org
APDA Young Onset Center
Central DuPage Hospital
25 N. Winfield Road
Winfield, IL 601901-877-223-3801
www.youngparkinsons.org
APDA West Coast Office
10850 Wilshire Boulevard, Suite 730
Los Angeles, CA 90024
1-800-908-2732
www.parkinsonsapda.org
APDA National Resource Center for Rehabilitation
Boston University College of Health & Rehabilitation Sciences - Sargent College
635 Commonwealth Avenue
Boston. MA 02215
1-888-606-1688
www.bu.edu/[email protected]
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