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Medical Health Encyclopedia
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Central nervous system
Central nervous system


Secondary parkinsonism

Alternative Names:
Parkinsonism - secondary

Symptoms:

Initial symptoms may be mild and nonspecific (such as mild tremor, slight feeling that one leg/foot is stiff or dragging).

Text Continues Below



  • Muscle rigidity:
    • Stiffness
    • Difficulty bending arms or legs
  • Posture may be unstable, stooped, or slumped over
  • Movement difficulties:
    • Loss of balance
    • Gait (walking pattern) changes
    • Shuffling
    • Slow movements
    • Difficulty beginning to walk, difficulty initiating any voluntary movement
    • Small steps followed by the need to run to maintain balance
    • Freezing of movement when the movement is stopped, unable to resume movement
  • Muscle aches and pains (myalgia)
  • Muscle cramps and dystonia
  • Shaking, tremors (varying degrees, may not be present):
    • May occur at rest or at any time
    • May become severe enough to interfere with activities
    • May be worse when tired, excited, or stressed
    • Finger-thumb rubbing (pill rolling tremor) may be present
  • Changes in facial expression:
    • Reduced ability to show facial expressions, "mask" appearance
    • Staring
    • Eye movement abnormality (difficulty moving eyes up and down)
    • May be unable to close mouth
  • Voice or speech changes:
  • Difficulty chewing or swallowing
  • Loss of fine motor skills:
    • Difficulty writing, may be small and illegible
    • Difficulty eating
    • Difficulty with any activity that requires small movements
    • Frequent falls
  • Mild decline in intellectual function (may occur)
Symptoms that may also be seen or develop:

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