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Related Concept Videos

Parkinson's Disease: Treatment01:24

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Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
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Alterations in Muscle Tone lll01:11

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Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...
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Parkinson Disease l: Introduction01:24

Parkinson Disease l: Introduction

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Parkinson’s disease is a chronic, progressive neurodegenerative disorder that primarily affects movement. It is characterized by motor symptoms such as resting tremors, muscle rigidity, bradykinesia (slowness of movement), and postural instability. Patients may notice hand tremors at rest, stiffness during movement, or a shuffling gait. In addition to motor features, non-motor symptoms include sleep disturbances, mood and behavioral changes, constipation, and cognitive impairment, all of...
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Parkinson's Disease: Overview01:15

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Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
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Alterations in Muscle Tone ll01:12

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Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
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Antipsychotic Drugs: Therapeutic Uses and Side Effects01:21

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Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
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Extrapyramidal syndrome.

Akhila Kumar Panda1, Kiran Bala, Lomesh Bhirud

  • 1Department of Neurology, Institute of Human Behaviour & Allied Sciences (IHBAS), Delhi, Delhi, India.

BMJ Case Reports
|January 9, 2014
PubMed
Summary

Organophosphate poisoning can cause unusual neurological issues. A case study shows a teen recovered from parkinsonism and brain lesions after pesticide ingestion, highlighting reversible symptoms.

Area of Science:

  • Neurology
  • Toxicology
  • Neuroimaging

Background:

  • Organophosphate (OP) poisoning is prevalent in developing countries, often leading to mortality from acute cholinergic crisis.
  • Secondary neuronal damage in OP poisoning can manifest as delayed peripheral neuropathy, extrapyramidal syndromes, and neuropsychiatric issues.

Purpose of the Study:

  • To report an unusual case of reversible extrapyramidal symptoms and basal ganglia hyperintensities in a young patient following organophosphate ingestion.
  • To discuss the neuroimaging findings and clinical course in the context of known organophosphate toxicity.

Main Methods:

  • Case report of a 14-year-old girl with organophosphate pesticide ingestion.
  • Clinical assessment for neurological symptoms, including extrapyramidal signs.

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  • Magnetic Resonance Imaging (MRI) of the brain using T2, FLAIR, and diffusion-weighted sequences.
  • Main Results:

    • The patient developed parkinsonism and hand dystonia despite prompt medical care.
    • Brain MRI revealed bilateral, symmetrical basal ganglia hyperintensities.
    • Clinical improvement and resolution of brain lesions were observed during follow-up.

    Conclusions:

    • This case highlights reversible extrapyramidal symptoms and neuroimaging findings in organophosphate poisoning, which is atypical.
    • The absence of neuropathy or neuropsychiatric manifestations in this case adds to its unusual presentation.