Case Study Parkinson's Intro
Case Study Parkinson's Intro
Case Study Parkinson's Intro
There are three types of Parkinson's disease and they are grouped by age of
onset:
Adult-Onset Parkinson's Disease - This is the most common type of
Parkinson's disease. The average age of onset is approximately 60
years old. The incidence of adult onset PD rises noticeably as people
advance in age into their 70's and 80's.
Juvenile Parkinson's Disease - The age of onset is before the age of 21.
The incidence of Juvenile Parkinson's Disease is very rare.
PD is the most common cause of chronic progressive parkinsonism, a term which refers to the syndrome
of tremor, rigidity, bradykinesia and postural instability. PD is also called "primary parkinsonism" or
"idiopathic PD" (classically meaning having no known cause). While many forms of parkinsonism are
idiopathic, "secondary" cases may result from toxicity most notably of drugs, head trauma, or other
medical disorders. The disease is named after English apothecary James Parkinson, who made a detailed
description of the disease in his essay: "An Essay on the Shaking Palsy" (1817).
PD traditionally has been considered a non-genetic disorder, however around 15% of patients have a
first-degree relative who also has the disease. [3] At least between 5 and 10% of the patients are now
known to have monogenic forms of the disease. [7] Other genes act as risk factors for sporadic cases of
the disease.
PD progresses with time. If not treated motor symptoms have an aggressive advance at the beginning of
the disease with an slower advance later on the disease course: untreated patients are expected to lose
independent ambulation after 8 years and be bedridden after 10 years
Two main measures are used in epidemiological studies: incidence and prevalence. Incidence is the
number of new cases per unit of person–time at risk (usually number of new cases per thousand
person–years); while prevalence is the total number of cases of the disease in the population at a given
time. PD is the most common neurodegenerative disorder after Alzheimer's disease. [34] The prevalence is
estimated at being 0.3 in the whole population in industrialized countries, rising to 1% in those over 60
years of age and to 4% of the population over 80. [34] Mean age of onset is around 60 years, although 5-
10% of cases are considered of young onset as begin between the age of 20 and 50. [3] Parkinson's
disease might less prevalent in those of African and Asian ancestry, although results are controversial. [34]
Some studies have also proposed that PD is more common in men than women while others did not
found any differences between the two groups. [34] Studies on incidence report that it is between 8 and
18 per 100.000 person-years.
The burden of Parkinson disease (PD) in developing nations is expected to double over the next
generation as the result of increasing life expectancy. 1 People aged 85 years and older are currently the
fastest growing segment of the US population. 2 Age is the strongest risk factor for PD, with a nearly
exponential increase in incidence between ages 55 and 79 years. However, the incidence of PD in
advanced age remains controversial. 3 The majority of prior studies have combined those aged 80 or 85
years and older together because of low numbers of participants in that age group, obscuring the
relationship between PD and advanced age. Accurate predictions of the future population burden of PD
depend on whether its incidence continues to increase, plateaus, or declines in those aged 80 years and
older.