Monday, February 16, 2015

Initial management of Parkinson's disease

At least there is something publically out there for Parkinsons. I don't know of anything like this for stroke, because there doesn't seem to be ANY stroke protocols at all for rehab or preventing the  neuronal cascade of death
Probably because of the incredibly f*cking stupid belief in 'All strokes are different, all stroke recoveries are different'.

http://www.ncbi.nlm.nih.gov/pubmed/25527341

Abstract

Parkinson's disease is one of the most common neurodegenerative disorders seen in the United States and United Kingdom. The disease is characterised by two processes-cellular degeneration and the resulting biochemical deficiency of dopamine. Although these processes are inter-related, they are approached separately in the clinical setting. Currently, no proven neuroprotective or disease modifying treatment is available for Parkinson's disease. Several agents can be used to treat the motor symptoms associated with dopamine deficiency, and it is important to choose wisely when starting treatment. Drugs can have mild, moderate, or high potency, and the patient's goals, comorbidities, and the short and long term implications of choosing a specific agent should be taken into account when selecting the appropriate agent. Non-motor symptoms, such as depression, fatigue, and disorders of sleep and wakefulness, also need to be evaluated and treated. Research is under way to deliver dopaminergic therapy more effectively, but studies aimed at slowing or stopping disease progression have not shown promise.

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