PARKINSONISM

1� / idiopathic:

Parkinson's disease ('paralysis agitans')

juvenile parkinsonism

poisoning:

heavy metals (copper, manganese, iron, 6-hydroxydopa)

MPTP in drug addicts

carbon monoxide

drugs:

dopamine antagonists:

phenothiazines, butyrophenones and thioxanthines

metoclopramide, prochlorperazine and cinnarizine

dopamine depletion:

reserpine

tetrabenazine

infections:

meningovascular syphilis

post-encephalitis (following 1914-18 influenza pandemic causing encephalitis lethargica)

hereditary:

Huntington's disease

Wilson's disease

familial basal calcification

familial parkinsonism

Hallervorden-Spatz disease

Guam complex (familial parkinsonism + dementia + amyotrophic lateral sclerosis)

multiple system atrophy:

Shy-Drager syndrome (parkinsonism + autonomic neuropathy + atonic bladder)

olivo-ponto-cerebellar atrophy

cortico-basal degeneration

other / miscellaneous causes:

trauma (especially boxers - 'post-pugilistic encephalopathy')

surgery to substantia nigra

hypoxia

cerebral tumours

Steele-Richardson syndrome (progressive supranuclear palsy) (parkinsonism + impaired downward gaze + dementia)

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