Volume 13, Issue 3 (Autumn 2006)                   J Birjand Univ Med Sci. 2006, 13(3): 9-15 | Back to browse issues page

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Afshar M, Ghandehari K. Tremor in the right hand as the most common initial manifestation of Parkinson disease . J Birjand Univ Med Sci.. 2006; 13 (3) :9-15
URL: http://journal.bums.ac.ir/article-1-100-en.html
1- Associate Professor, Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences. Birjand, Iran , afshar_md@yahoo.com
2- Associate Professor, Department of Neurology, Faculty of Medicine, Birjand University of Medical Sciences. Birjand, Iran
Abstract:   (16303 Views)
Background and Aim: Parkinson Disease (PD) is a common cause of disability in the aged. PD patients need life long drug therapy and rehabilitation. This study was to evaluate the initial manifestations of PD.
Materials and Methods: In this case-series study, 100 consecutive elderly patients with PD enrolled in a prospective case series study in Valie-e-Asr neurology clinic affiliated to Birjand University of Medical Sciences during 2002-2004. PD was confirmed by a neurologist based on the criteria developed by British Parkinson association. Age of the patients at PD onset and its first clinical manifestations were kept in a data base. The obtained data was statistically analysed applying SPSS software, chi-square and t-test, at the significant level P≤0.05.
Results: 100 PD patients were evaluated, of whom 68 were males and 32 females. Mean age of the patients at the onset of PD was 63.6±9.6 years. In 76% of our PD patients, resting tremor was the initial manifestation. Right hand, left hand, and both hands tremor were the initial manifestation in 50%, 14% and 12% of our PD patients, respectively. Hypokinesia-bradykinesia, Rigidity and dementia consisted 18%, 4% and 2% of initial PD manifestations respectively.
Conclusion: Resting tremor in the right hand is the most common initial manifestation of PD in elderly PD patients and therefore it should be taken into account as a significant sign in the initial diagnosis of PD.
Full-Text [PDF 168 kb]   (2052 Downloads)    
Type of Study: Original Article | Subject: Neurology
Received: 2006/09/6 | Accepted: 2016/03/10 | ePublished: 2016/03/10

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