Dementia & Alzheimer’s, Cognitive impairment – In most cases, Alzheimer’s & dementia in Parkinson’s occurs late in the disease, as the pathology starts to spread outside of the motor areas and into cognitive areas.
Depression and anxiety – Depression can be an early sign of the disease. Living with Parkinson’s can certainly cause stress and sadness, depression may also be caused by changes in areas of the brain that affect mood. Anxiety often occurs with depression in Parkinson’s. As with depression, anxiety can be an early sign of Parkinson’s.
Hallucinations – In Parkinson’s, hallucinations are almost always visual (you see something that is not there). They commonly begin as minor, non-threatening visual …show more content…
Patients should be aware of increased sexual impulses or reduced behavioural control and hypersexuality and sexually deviant behaviour in Parkinson’s disease and dopaminergic therapy.
Delusions – are false beliefs that are not based on reality or fact. Delusions may occur after having hallucinations. Suspicions are most often directed at family members. Common delusions include cheating spouses or theft. Delusions mainly occur in advanced Parkinson’s.
REM sleep behaviour disorder -REM (rapid eye movement) sleep is one of the five stages of sleep. Normally, there is no movement during REM sleep (you are paralyzed). If you have REM sleep behaviour disorder (RBD), this normal paralysis is lost. RBD may cause you to act out your dreams. You may punch, kick, shout, talk or fall out of bed during this stage. You may end up injuring yourself or your bed partner.
Parkinson’s “motor “symptoms :
Resting Tremor – In the early stages of the disease, about 70 percent of people experience a slight tremor in the hand or foot on one side of the body, or less commonly in the jaw or …show more content…
Postural Instability – One of the most important signs of Parkinson’s is postural instability, a tendency to be unstable when standing upright. A person with postural instability may topple backwards if jostled even slightly. Some develop a dangerous tendency to sway backwards when rising from a chair, standing or turning. Many people with Parkinson’s are unable to recover, and would tumble backwards if someone were not right there to catch him or her.
Freezing – Freezing of gait is an important sign of PD. People who experience freezing will normally hesitate before stepping forward. They feel as if their feet are glued to the floor. Freezing can occur in very specific situations, such as when starting to walk, when pivoting, when crossing a threshold or doorway, and when approaching a chair. Freezing is a potentially serious problem in Parkinson’s disease, as it may increase a person’s risk of falling