The reality is that not all earthquakes are associated with Parkinson’s disease, a neurodegenerative disorder that affects 800,000 Argentines. There are drugs, for example, which can also cause the physical symptoms and have nothing to do with the disease.

That is why Argentina Neurological Society (SNA) dedicates the month of April to spread what it is exactly that bad yet no cure that affects certain parts of the nervous system and whose cause remains a mystery.

“There is no single explanation. There would be a genetic predisposition to disease and a combination with environmental factors. Those who have the disease before 40, which are 10% of patients, the group would be the most important would it be genetics, “said Dr. Cecilia Peralta, director of the Day Hospital Parkinson’s Disease Hospital César Milstein.

Both Peralta and the other members of the team responsible for creating, from the SNA, the first Argentine record of the disease in order to have national statistics on diagnosis, treatment, rehabilitation and access to these benefits stressed: “Today, in our country, receives rehabilitation for symptoms such as loss of balance or language impairment, for example, only 30-40% of patients. Among the causes of this situation, besides the lack of options to maintain the interest of patients, SNA specialists are agreed that the lack of coverage and medical ignorance. ”

“I have to know that the act of prescribing and my pen will impact the long-term evolution of a patient,” said Dr. Anabel Chade, Head of Adult Neurology Clinic and the Parkinson’s Disease and Related Neurological Institute Cognitive (INEC) and coordinator of Abnormal Movements Unit of the Favaloro Foundation.
Typical signs

But although the tremors are usually the most physical sign associated with Parkinson’s disease onset starts much earlier, with non-motor symptoms such as depression, combined with disorders such as constipation, sleep problems, partial loss of smell, anxiety and alteration of intestinal transit.

When earthquakes occur, experts estimate that the person has already lost 80% of neurons in the substantia nigra, a brain stem areas in which these cells produce dopamine to help regulate movement and coordination of the body. “Today, we are diagnosed when they lost 40-50% of these neurons,” said Peralta.

A study of 401 patients Argentines, 69% suffered from insomnia, depression and anxiety. Between 4 and 20 years after that first appear premotor phase physical symptoms: painful muscle stiffness, slow movements and tremor in one hand, usually right, “at rest, of medium intensity (between 4 and 6 Hz) and disappears during sleep, “summarized Dr. Tomoko Arakaki, Abnormal Movements of the Clinic Hospital Ramos Mejía.

• The premature baby, as this boy Neurologist greater risk.

• The child presented at birth: hypoxic ischemic encephalopathy, neonatal seizures, brainchild palsy, facial paralysis, or congenital infections apnea.

• The child with psychomotor developmental delay, such as the child who holds his head after three months of life, not sit at six months, not walking by 14 months, does not say words or understand simple commands after the first year of life.

• The child who fails to establish a proper sleep pattern.

• The child who is not contacted it or do not emotional, extremely irritable.• The child who loses a role gained in its development or stagnate in its development.

• Child takes very soft abnormal postures.

• The child who does not present a proper weight-height growth pattern and his head circumference.

• The child too restless their management difficult and leads to distortion of the medium.

• The child with language delay, poor vocabulary, slurred speech, difficulty in understanding orders.

• The child with poor school performance, school refusal.
• The child complains of headache, or dizziness.

• The child with a gait disturbance, falls often easily fatigued or weak muscles.

• Child clumsy driving, which you drop things, bumps into anything.

• The child who passes out.

• The child with tics.

• The child who presents with seizures or without a fever.

• The child who shows a change in your usual behavior.

• The child carrier of congenital malformations, genetic syndromes or metabolic diseases.

• Child cerebral palsy.

The brain is a complex organ. For this reason, to discover the cause of your symptoms need to ask the neurologist very detailed questions. It is imperative to know exactly the history of all their ills. Then, his neurologist is likely to need to explore how their nervous system. You will need to observe their intelligence, language, memory and senses. Will look at the bottom of the eye, assess their strength, mobility in your joints, sensations in the arms and legs, balance, gait and finally reflexes. You may also need to know your blood pressure, heart rate and rhythm of their listening to heart sounds and lung. Then explain the most likely diagnosis and advise the most appropriate treatment.

This is usually done verbally and in writing (the report). Sometimes special tests, after questions and explore, your neurologist may request some special tests to help pinpoint the diagnosis. The most common are the CT, MRI, Doppler, electroencephalography, electromyography, and various blood tests. Each disease needs to explore different and some, such as migraines or Parkinson’s, usually do not need any. It is therefore important that the neurologist’s assessment test these techniques.

Duration of the course consultation, evaluation and exploration of the neurologist needs much more time than other specialists. It is very difficult to make accurate diagnoses in less than 30 minutes and often takes up to an hour. Unfortunately there are few neurologists and many patients, so they rarely have the necessary time.

Neurology and neuropsychiatry. Neuropsychiatry not exist as a specialty. In some clinics still have any questions of this nature. It is important that your query is of Neurology and is staffed by a neurologist.