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© 1983 Oxford University Press

research-article

DIAGNOSIS AND MANAGEMENT OF PARKINSONISM IN THE ELDERLY

C. J. TURNBULL, Senior Registrar and J. A. AITKEN, Consultant Physician

Department of Medicine for the Elderly, Clatterbridge Hospital Wirral, Merseyside

Of 123 patients with parkinsonism attending a department of medicine for the elderly who were assessed, 73% were thought to have idiopathic Parkinson's disease, and 91% of these cases and 52% of the remaining cases had a history of rest tremor; 34% of all cases were demented. The prevalence of dementia did not correlate with the duration of disease. Demented patients with presumed idiopathic Parkinson's disease were not distinguishable from non-demented by duration of disease, presence of a history of rest tremor or use of L-dopa. Eighty-eight per cent of non-demented patients but only 44% of demented patients were thought to have responded to L-dopa. Lower doses of L-dopa were used than are conventional with younger patients.


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