Shopping Cart
Your Cart is Empty
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Neurología Mancha-Centro

Servicio de Neurología del Area Mancha Centro - Hosp. General Mancha Centro y Hosp. General de Tomelloso

Blog de Neurologia Post New Entry


Posted by Enrique Botia Paniagua - Jefe de Neurología HGMC on April 10, 2016 at 3:10 PM

El 11 de abril es el Día Mundial del Parkinson


La enfermedad de Parkinson (EP) es la segunda enfermedad neurodegenerativa más frecuente (la primera es la enfermedad de Alzheimer). Su causa principal es la degeneración progresiva de células dopaminérgicas en la sustancia negra.  Aunque la mayoría de las veces la enfermedad es esporádica, hay un porcentaje de formas genéticas.

Los síntomas motores cardinales de la enfermedad son temblor, rigidez y bradicinesia (lentitud de movimientos). Otros datos clínicos característicos son el comienzo asimétrico y la buena respuesta al tratamiento con levodopa. Además de los síntomas motores, hay síntomas no motores como trastornos del ánimo, déficit olfatorio, estreñimiento, alteraciones del sueño REM, dolor de hombro.... presentes incluso antes del diagnóstico de la enfermedad (enfermedad "premotora"). Tanto la clínica motora como la no motora, indicen de manera variable en la calidad de vida de los pacientes.

La escala que utilizamos para valorar el estadío del paciente es la clasificación de Hoenh-Yahr.

El diagnóstico es clínico y se puede apoyar en diferentes pruebas diagnósticas, ninguna definitiva, ya que diagnóstico definitivo es la necropsia.Utilizamos la resonancia magnética cerebral para diferenciar entre EP y otros parkinsonismos (vascular, atrofia multisistémica o hidrocefalia entre otros.) La sonografia, (medición de hiperecogenidad de la sustancia negra) para diferenciar EP de temblor esencial y otros parkinsonismos. Las pruebas de medicina nuclear como el SPECT -DATSCAN- ayudan a diferenciar los síndromes parkinsonianos del temblor esencial o parkinsonismos farmacológicos. El SPECT con IBZM, se solicita para diferenciar la EP de otros parkinsonismos. No obstante, como ya hemos mencionado, el diagnóstico es clínico y debe reemplantearse de manera periódica en busca de datos atípicos.

El tratamiento, sintomático que no curativo, suele ser eficaz en los primeros 10-15 años. Posteriormente y en relación con el tratamiento prolongado, pueden aparecer complicaciones que llamamos fluctuaciones motoras (discinesias, acortamiento del beneficio de dosis, bloqueos) y no motoras (sialorrea, disfagia, síntomas urinarios, somnolencia diurna excesiva, apatía, alucinaciones, déficit cognitivos y trastornos del control de impulsos donde encontramos entre otros la hipersexualidad). En esta etapa se pueden plantear otras alternativas terapeúticas como pueden ser la infusión de duodopa, apormorfina o técnicas quirúrgicas como la estimulación cerebral profunda.

Los pacientes con EP se benefician de una vida activa con ejercicio físico diario (mejora el estado físico, metal y entre otros, los dolores articulares debidos a la rigidez).

En conclusión, la EP es una enfermedad degenerativa con manifestaciones clínicas motoras y no motoras que indicen en la calidad de vida de los pacientes.

No disponemos actualmente de ninguna prueba diagnóstica definitiva durante la vida del paciente siendo el diagnóstico clínico. Tiene un tratamiento aceptable en los primeros años de la enfermedad que se debe complementar con ejercicio físico diario.


11 de abril de 2016. DRA MARTA RECIO BERMEJO. 
Coordinadora de la Unidad de Parkinson y Trastornos del Movimiento.
Servicio de Neurología del Hospital General La Mancha Centro. Alcázar de San Juan.



You need Adobe Flash Player to view this content.

Video-1 Videochat sobre la enfermedad de Parkinson. Clínica Universidad de Navarra.

You need Adobe Flash Player to view this content.

Video 2 - Ejercicios para la enfermedad de Parkinson




Categories: Parkinson y Trast. del Movimiento

Post a Comment


Oops, you forgot something.


The words you entered did not match the given text. Please try again.

Already a member? Sign In


Reply Tomyenven
5:26 AM on September 25, 2021 
Reply supreme clothing
8:10 AM on September 26, 2021 
I precisely had to thank you very much again. I am not sure the things that I would have handled without the type of techniques documented by you over such a concern. This has been the alarming concern in my circumstances, nevertheless finding out the very skilled approach you resolved it forced me to jump for joy. Now i'm grateful for this support and in addition trust you are aware of a great job you are putting in instructing men and women by way of your blog post. Most probably you've never encountered any of us.
supreme clothing
Reply golden goose sneakers
12:53 PM on September 26, 2021 
I would like to show my love for your generosity for men and women who really want assistance with that question. Your special dedication to getting the solution throughout became surprisingly good and have frequently permitted folks like me to attain their goals. Your amazing warm and helpful facts means much a person like me and much more to my office colleagues. Thanks a ton; from each one of us.
golden goose sneakers
Reply Marytaw
4:01 PM on September 27, 2021 
tadalafil in mexico
Reply off white shoes
10:14 AM on September 28, 2021 
I have to show some thanks to the writer just for rescuing me from such a trouble. Just after looking out through the the net and meeting thoughts which are not powerful, I figured my entire life was well over. Living without the approaches to the issues you have resolved by means of your entire blog post is a serious case, as well as the kind which could have negatively affected my career if I hadn't come across your web blog. Your main talents and kindness in handling all the pieces was excellent. I am not sure what I would've done if I had not come upon such a thing like this. I am able to at this point look forward to my future. Thanks a lot so much for your skilled and effective help. I will not hesitate to recommend your site to anyone who needs to have assistance about this situation.
off white shoes
Reply lebron shoes
2:40 PM on September 28, 2021 
Thanks so much for providing individuals with a very breathtaking opportunity to read critical reviews from this blog. It's usually very kind plus jam-packed with amusement for me and my office friends to visit your site more than thrice weekly to read through the latest stuff you have got. Of course, I'm just actually amazed with the remarkable tactics served by you. Selected two facts in this article are particularly the most beneficial I have ever had.
lebron shoes
Reply jordan 13
2:14 PM on September 30, 2021 
Thank you for all of your labor on this site. My mom loves getting into research and it's really easy to see why. My spouse and i learn all concerning the powerful way you provide functional tips and hints on the web site and in addition boost response from other individuals on the situation plus our own princess is discovering a great deal. Enjoy the rest of the year. You're doing a good job.
jordan 13
Reply golden goose outlet
2:14 PM on September 30, 2021 
I wanted to compose you that tiny note to be able to thank you so much yet again with your precious concepts you've featured here. This has been quite surprisingly open-handed of people like you in giving easily what most of us could possibly have sold for an ebook to help with making some dough on their own, most notably since you might well have tried it in the event you desired. The points additionally served to provide a great way to be certain that other individuals have the identical fervor much like my own to see whole lot more with reference to this issue. I'm certain there are numerous more enjoyable sessions up front for folks who see your website.
golden goose outlet
Reply goyard handbags
2:15 PM on September 30, 2021 
I really wanted to construct a small word in order to appreciate you for some of the pleasant solutions you are showing on this site. My rather long internet research has now been rewarded with really good ideas to write about with my great friends. I would express that most of us website visitors are rather fortunate to dwell in a great website with many brilliant professionals with great tips. I feel somewhat grateful to have seen the site and look forward to some more brilliant moments reading here. Thanks a lot once more for all the details.
goyard handbags
Reply kyrie 7 shoes
2:15 PM on September 30, 2021 
I precisely desired to thank you so much all over again. I'm not certain the things I could possibly have made to happen without these recommendations discussed by you over this area of interest. It truly was an absolute distressing issue in my view, but looking at your specialised approach you resolved it took me to cry for gladness. I am just happy for your service and hope you know what a powerful job you are always providing instructing the rest thru your site. I am sure you have never got to know any of us.
kyrie 7 shoes
Reply kobe 9
5:49 PM on September 30, 2021 
I precisely needed to appreciate you once again. I'm not certain the things that I could possibly have sorted out without the type of tips and hints provided by you about my situation. It absolutely was a hard circumstance in my position, however , witnessing a specialised approach you treated the issue took me to cry with joy. I will be grateful for this guidance as well as expect you recognize what a great job you happen to be doing teaching people through a blog. Most likely you've never met all of us.
kobe 9
Reply 300mg gabapentin
8:17 PM on September 30, 2021 
Mejor Tuenti Para Tomar Propecia
Reply Prednisone
3:33 AM on October 2, 2021 
Tadacip 20 India
Reply kyrie 7 shoes
5:36 PM on October 2, 2021 
I really wanted to post a quick comment to say thanks to you for all the nice secrets you are posting at this website. My extensive internet research has now been rewarded with extremely good insight to write about with my family members. I would state that that we website visitors are rather endowed to live in a really good website with so many special professionals with very beneficial tips. I feel very fortunate to have come across the webpages and look forward to some more brilliant times reading here. Thanks once more for all the details.
kyrie 7 shoes
Reply yeezy boost 700
9:13 PM on October 2, 2021 
I am commenting to make you understand of the great encounter my friend's princess had reading through your web site. She even learned many details, with the inclusion of what it is like to have an incredible coaching spirit to make the mediocre ones smoothly learn various multifaceted issues. You undoubtedly did more than our own desires. Many thanks for churning out those effective, trustworthy, revealing and also cool tips about this topic to Kate.
yeezy boost 700
Reply yeezy boost 350
9:21 PM on October 6, 2021 
Thanks so much for providing individuals with a very pleasant chance to check tips from this site. It really is so lovely and also packed with a great time for me personally and my office peers to visit the blog the equivalent of 3 times a week to read through the latest guidance you have. And of course, I'm so usually amazed considering the exceptional things served by you. Some 2 points in this article are honestly the most effective we've ever had.
yeezy boost 350
Reply lebron 16
1:40 AM on October 7, 2021 
Thanks a lot for providing individuals with an extremely breathtaking opportunity to read in detail from this website. It's usually so useful plus packed with a great time for me and my office colleagues to search your blog at the very least three times in one week to find out the newest things you have got. Not to mention, I am also actually fulfilled for the surprising tricks served by you. Certain 2 ideas on this page are essentially the simplest we have had.
lebron 16
Reply Brairiulp
5:45 AM on October 7, 2021 - is gabapentin
Reply outrago
5:11 PM on October 8, 2021 - prednisolone diabetes
Reply bape
3:17 AM on October 9, 2021 
I am glad for writing to make you be aware of what a nice experience my cousin's princess experienced visiting your site. She realized several issues, not to mention what it is like to possess a very effective giving character to get most people completely comprehend selected problematic things. You undoubtedly surpassed her desires. Many thanks for displaying such informative, trusted, educational and in addition unique tips about your topic to Kate.