[3 crises in Parkinson disease]

Three dangerous crises have great influence on the social relations of the Parkinson-patient and his life. Two of the three crises show the importance of the psychical component of the disease: In the beginning of the disease we often see a phase of "masked Parkinsonism" with serious depression. A hard break takes place in the patient's way of life. The second crisis is a phase of psychotic symptoms such as halucinations, paranoid ideas and mental confusion. This phase is a reaction between the disease and the antiparkinsonian medication. In the third, the akinetic crisis at last an extinction of physical mobility and psychic-reaction ability place takes. It is very important to start immediately with specific therapy in every one of the three crises.