Parkinsons Disease: Dr Chris On How To Spot Early Signs
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Parkinsons disease is a condition that causes the brain to become progressively more damaged over time, said the NHS. You could be at risk of the neurodegenerative condition if you find that youre unusually dizzy, without any obvious reason, its been revealed.
Falls And Parkinsons Disease
A loss of balance often resulting in falling affects many with Parkinsons. This is due in part to general motor dysfunction caused by the disorder. Falling can depend on each persons symptoms and how they respond to medication. This should be monitored for any pattern noted at the time of these changes or fluctuations.5 Syncope is one of the most commonly overlooked causes of dizziness in people with Parkinsons.2
And Some Cancer Patients Should Be Cautious Too
Cancer patients who take the drug cisplatin should be careful combining the drug with caffeine intake. Cisplatin is well-known to cause hearing loss and tinnitus in chemotherapy patients, a phenomenon known as;cisplatin-induced hearing loss. A 2019 study on lab rats showed that adding caffeine increased the risk of hearing loss. The study authors concluded that these findings highlight a possible drug-drug interaction between caffeine and cisplatin for ototoxicity and;suggest that caffeine consumption should be cautioned in cancer patients treated with a chemotherapeutic regimen containing cisplatin.
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Learn How Sound Therapy Has Brought Relief For Symptoms Of Parkinsons And Essential Tremor
Parkinsons disease is a movement disorder caused by a degenerative condition of the central nervous system that often impairs the sufferers motor skills, speech, and other functions.
The primary symptoms are the results of decreased stimulation of the motor cortex by the basal ganglia, Parkinsons occurs when certain nerve cells in a part of the brain called the substantia nigra die or become impaired. Normally, these cells produce a vital chemical known as dopamine. Dopamine is the neurotransmitter which gives us our inspiration and ability to get up and go.
Dopamine allows smooth, coordinated function of the bodys muscles and movement. When approximately 70% of the dopamine-producing cells are damaged, the symptoms of Parkinsons disease will appear. Parkinsons disease is both chronic and progressive.;;
I have Parkinsons Disease. I lie down every day and put on my headphones and go into a very peaceful and restful sleep. I think Sound Therapy is beneficial to the stress that this malady brings on….
Marjorie Noyes, White Rock, BC, Canada – Read More
Affects on speech and the voice
- Speaking very softly
- Voice sounds strong on some days and weak on others
- Voice sounds hoarse, scratchy, or breathy
Hannah Shein Israel – Read More
Brain stimulation and Parkinsons
Long Latency Auditory Evoked Potentials
Regarding early stage PD, the same inconclusive pattern was found . Therefore, no clear alterations in stimulus-related sound detection in the early stage of PD can be assumed based on the current results from auditory oddball paradigms. However, in the study of Beucke et al. , altered intensity dependence of AEPs was demonstrated in early stage PD. A significantly increased IDAEP of the N1/P2 amplitude, indicating low serotonergic activity, was found in unmedicated patients with PD compared to HCs. This difference was no longer evident after 12 weeks of dopaminergic treatment in patients with PD . In addition, based on a paired-stimulus paradigm, Lukhanina et al. and Lukhanina et al. demonstrated significantly reduced post-excitatory inhibition of the auditory N1/P2 complex following the second stimulus in patients with PD evaluated without dopaminergic medication state compared to HCs. Subgroup analyses based on disease stage, revealed that diminished post-excitatory auditory cortical inhibition may be evident at the early stage of the disease . Furthermore, auditory inhibition of the second stimulus seems to improve after dopaminergic intake in patients with PD .
Processing Negativity or Nd
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What Causes Parkinsons Disease
Parkinsons disease occurs when nerve cells in an area of the brain called the substantia nigra become impaired or die. These cells normally produce dopamine, a chemical that helps the cells of the brain communicate . When these nerve cells become impaired or die, they produce less dopamine. Dopamine is especially important for the operation of another area of the brain called the basal ganglia. This area of the brain is responsible for organizing the brains commands for body movement. The loss of dopamine causes the movement symptoms seen in people with Parkinsons disease.
People with Parkinsons disease also lose another neurotransmitter called norepinephrine. This chemical is needed for proper functioning of the sympathetic nervous system. This system controls some of the bodys autonomic functions such as digestion, heart rate, blood pressure and breathing. Loss of norepinephrine causes some of the non-movement-related symptoms of Parkinsons disease.
Scientists arent sure what causes the neurons that produce these neurotransmitter chemicals to die.
Walking And Staying Balanced
People with Parkinsons can be more likely to experience issues with balance. You may also experience freezing, where your feet feel glued to the floor.
If you notice issues with balance and freezing, see a physiotherapist for an assessment so they can advise you on improving your mobility.
Be careful when reaching above your head or below your knees as this is when you can become unsteady.
When you are walking, try not to turn too quickly or pivot on the spot. Marching your feet around in the direction you need to turn can help.
Getting into a rhythm when you walk can help you take bigger, more focused strides. You could count each step or walk to a particular tune in your head, for example.
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Meniere’s Disease And Caffeine
Patients who have Meniere’s disease are sometimes told to cut back on alcohol, salt and caffeine to help alleviate symptoms. Anecdotally, diet changes can be very helpful for some people, especially low-salt diets. But there’s scant evidence on the topic, especially when it comes to caffeine and alcohol.
Theoretically, “caffeine and alcohol intake can result in constriction of blood vessels and could result in a reduction in the blood supply to the inner ear, which may make patients’ symptoms worse,” state the authors of an evidence review on Meniere’s and dietary changes.;”Many doctors advise dietary changes as a firstline treatment as it is thought to be a relatively simple and inexpensive option,” they added.
But frustratingly, the review authors;found no high-quality studies on the topic at all. “This intervention is widely recommended to patients without any proven benefit or clear understanding of any potential harms. This may delay the use of more effective treatment options resulting in disease progression and patient suffering or adverse effects,” the authors state.
Bottom line: The relationship between caffeine and hearing health;has not been studied enough to know what, if any, impact caffeine has on Meniere’s disease, hearing loss or tinnitus.
If you enjoy coffee, soda or energy drinks and are otherwise healthy, there is no research indicating you should stop.;That said,;if you want to see if cutting;back on caffeine helps you, then by all means give it a try.;
Visit Your Primary Care Provider And Audiologist
If your tinnitus continues beyond a week, becomes bothersome, starts to interfere withyour sleep and/or your concentration, or makes you depressed or anxious, seek medical attention from a trained healthcare professional. Your PCP should be able to diagnose/rule out certain causes of tinnitus, such as obstructions in the ear canal or temporomandibular joint dysfunction , and provide a referral to the appropriate specialist. If no underlying medical issues are found, see an audiologist for a hearing assessment and evaluation of tinnitus treatment options.
It is also vital that tinnitus patients educate themselves about tinnitus and tinnitus management so that they can be their own advocates in the healthcare process. ATA encourages patients to independently research their condition in preparation for their appointments and arrive with specific questions for their provider:
All materials posted on the ATA website are subject to copyright owned by the American Tinnitus Association . No part of these pages, either text, file or image may be used for any purpose other than personal use. Any reproduction, retransmissions, republication, storage in a retrieval system or retransmission, in any form or by any means, electronic, mechanical or otherwise, is strictly prohibited without prior written permission. Submit our contact form for general inquiries.
What The Research Says About Caffeine Hearing Loss And Tinnitus
Contributed by Joy Victory, managing editor, Healthy HearingAugust 9, 20212021-08-09T00:00:00-05:00
Wondering how caffeine intake might affect your hearing, especially when it comes to hearing loss and tinnitus ? What about Menieres disease?;
So far, research has not shown any harmfullinks between caffeine consumption and hearingloss.
This isnt a heavily studied topic of research, and for the most part, it does not seem that caffeine intake plays a big role in hearing health overall.;
Location Of Endolymphatic Sac
Whats Hot In Pd Tips For Patients And Families On The Diagnosis And Treatment Of Dizziness Vertigo And Parkinsons Disease
Though dizziness and vertigo have been commonly reported in the setting of Parkinsons disease , the diagnosis may be missed and treatment may not be optimal. The terms dizziness and vertigo can be defined in many ways. Most experts agree that the terms refer to a sensation of spinning or whirling and that the sensation has been frequently associated with balance problems. The Parkinsons Foundation 1-800-4PD-INFO Helpline and PD Conversations have received many questions on the topic of dizziness, vertigo and Parkinsons disease. In this months Whats Hot in PD? column, I will review the topic and summarize the most common management strategies.
Van Wenson and colleagues recently analyzed a consecutive cohort of Parkinsons disease patients. There were 305 patients and 49% complained of dizziness. Of these cases, 38% had orthostatic hypotension;and 8% had benign paroxysmal positional vertigo. There were another 3% suffering from a less classical type of benign paroxysmal positional vertigo. The prevalence of benign paroxysmal positional vertigo in Parkinsons patients was 5.3% and over 90% of cases improved with treatment .
Common Causes and Tips to Cope with Dizziness and Vertigo in PD:
Van Wensen E, van Leeuwen RB, van der Zaag-Loonen HJ, Masius-Olthof S, Bloem BR. Benign paroxysmal positional vertigo in Parkinsons disease. Parkinsonism Relat Disord. 2013 Dec;19:1110-2. doi: 10.1016/j.parkreldis.2013.07.024. Epub 2013 Aug 13. PubMed PMID: 23948517.
Ethics Approval And Consent To Participate
The present study was approved by the Institutional Review Board of the Taipei Veterans General Hospital . Obtaining written consent from the study participants was unnecessary because the NHI data set comprises de-identified secondary data for research directions. The Institutional Review Board of Taipei Veterans General Hospital issued a formal written waiver for the demand for consent.
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Contact Our Information And Referral Helpline
The Parkinson Canada Information and Referral Helpline is a toll-free Canada-wide number for people living with Parkinsons, their caregivers and health care professionals. We provide free and confidential non-medical information and referral services. When you have questions or need assistance, our information and referral staff help connect you with resources and community programs and services that can help you. We provide help by phone or email, Monday to Friday, 9:00 a.m. 5:00 p.m. ET.
Problems With Blood Pressure
Problems with blood pressure can affect people generally as they get older, but some Parkinsons medication can cause side effects, including problems with blood pressure. This can lead to dizziness and falls. If youve felt dizzy, or fallen because of dizziness, ask your GP or practice nurse to check your blood pressure both when youre sitting and standing, to see if its too low.
Drugs used to treat other medical conditions, such as high blood pressure, can potentially make dizziness worse, especially if you are losing weight or not eating and drinking as well as you used to.
Postural hypotension is a sudden drop in blood pressure when changing position, for example getting up out of a chair. It can make you feel very light-headed, which will affect your balance. You may experience postural hypotension as a symptom of Parkinsons. But it can also be caused by the drugs used to treat Parkinsons.
You can avoid some dizzy spells by taking your time. For example, before you get out of bed, sit with your feet touching the floor for a few minutes to get your blood flowing. Then stand up slowly, but try not to walk away immediately stand for a while until you feel steady.
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Managing Depression In Parkinsons Disease
People with Parkinsons, family members and caregivers may not always recognize the signs of depression and anxiety. If you are experiencing depression as a symptom of Parkinsons, it is important to know it can be treated.
Here are some suggestions:
- For information and support on living well with Parkinsons disease, contact our Information and Referral line.
- As much as possible, remain socially engaged and physically active. Resist the urge to isolate yourself.
- You may want to consult a psychologist and there are medications that help relieve depression in people with Parkinsons, including nortriptyline and citalopram .
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Orthostatic Hypotension In Parkinsons Disease Multiple System Atrophy And Lewy Body Dementia
Movement disorder specialist, Dr. Veronica Santini spoke for a half hour on orthostatic hypotension, a common symptom of Parkinsons disease, Multiple System Atrophy and Lewy Body Dementia. ;Following her talk, moderator Candy Welch, Brain Support Networks MSA caregiver support group leader, presented Dr. Santini with questions from webinar participants for another half hour.;
Orthostatic Hypotension In Patients With Parkinsons Disease And Atypical Parkinsonism
This article outlines a study which reviewed current evidences on epidemiology, diagnosis, treatment, and prognosis of orthostatic hypotension in patients with idiopathic Parkinsons disease and atypical parkinsonism. ;Conclusions include recommendation for further study of OH and routine screening for timely diagnosis and further assessments beyond the recommended 3 minute postural challenge currently used.
Common Causes Of Dizziness And Vertigo In Parkinsons And How To Treat Them:
In people with early Parkinsons disease , the dizziness has in many cases linked to a lower Montreal Cognitive Assessment score raising the possibility that dizziness may be a non-movement symptom associated with cognitive decline .
Dizziness or vertigo can be tied to many causes and is not unique to Parkinsons. Symptoms can be caused by medications, low blood pressure, anxiety, cold, flu, dehydration, heart conditions and more. Tell your doctor immediately if you regularly experience dizziness or vertigo.
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How Is Parkinsons Disease Treated
There is no cure for Parkinsons disease. However, medications and other treatments can help relieve some of your symptoms. Exercise can help your Parkinsons symptoms significantly. In addition, physical therapy, occupational therapy and speech-language therapy can help with walking and balance problems, eating and swallowing challenges and speech problems. Surgery is an option for some patients.
How Is Mnires Disease Treated
Ménières disease does not have a cure yet, but your doctor might recommend some of the treatments below to help you cope with the condition.
Pressure pulse treatment.
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Body Parts That Can Be Affected With Dystonia In Parkinsons
Repetitive and sustained eye closure is known as blepharospasm. To the observer, this looks like increased blinking, which may increase in certain situations such as in bright light. The frequent blinking/eye closures can interfere with activities such as reading or driving.; This can be associated with PD, but may also accompany other forms of parkinsonism such as Progressive Supranuclear Palsy. The most common treatment for this disorder is Botulinum toxin injections.
In PD, the trunk can tilt to one side or flex forward. Forward flexion of the trunk is known as camptocormia. Similar to neck flexion, it is unclear whether the flexion is due to dystonia causing overactivity of muscles that pull the trunk down, or weakness of the muscles that keep the trunk upright. Typically, although the forward flexion may appear very profound when upright, the patient can lie flat in a bed or sometimes even straighten up against a wall, demonstrating that the flexion is not due to a permanent deformation. Treatment options are similar to those available for neck flexion. Spinal surgeries which attempt to straighten the torso have been reported in a handful of patients. Results were mixed including a very high rate of surgical complications.; These surgeries are generally not performed.