Frederick Haupt - Parkinson's disease (Austria) Posted on July 16, 2012
Name: Frederick Haupt 
Sex: Male
Country: Austria
Age: 69
Diagnosis: Parkinson's disease
Admission Date: May 11, 2012
Days Admitted to Hospital: 28
Frederick is a 69 year old male. He was presented with tremors in the limbs for the past 3 years. He went to the local hospital and was diagnosed with Parkinson disease and prescribed Madopar, but over time, the tremors became more severe, so the doctors took him off Madopar and he was prescribed Pramipexole Dihydrochloride, daily. Fred developed swallowing difficulty and a serious cough about 2 years ago. He also developed postural hypotension 1 year ago. This was accompanied with weakness and stiffness in the arms and legs. Frederick went to the local hospital again and was given an MRI examination and various blood tests. He was diagnosed with Parkinson��s disease and was prescribed appropriate medication but the tremors were aggravated. After Frederick stopped taking the medication, the symptoms including the tremors in all four limbs, swallow difficulty, postural hypotension and motor skills gradually improved.
Nervous System Examination:
There were static tremors in the right hand and there was no muscle atrophy. The patient had difficulty with sitting up and needed assistance to stand up. He could only walk slowly and turn around slowly. The bilateral biceps reflex, radial periosteal reflex, triceps reflex and patellar tendon reflex were normal. The bilateral abdominal reflexes were not elicited. The bilateral Hoffmann's sign and Rossolimo's sign were negative. The bilateral sucking reflex was negative. The bilateral palm jaw reflex was negative. The bilateral Babinski's sign was negative. The examination of the sensation showed no obvious abnormalities. The patient was able to do the finger-to-nose test in a unstable manner. He was able do the rapid rotation test and digit opposition test, but in an uncoordinated manner. He was able to do the heel-knee-shin test slowly. There were no signs of meningeal irritation. After the admission, Frederick received the relevant examinations. The muscles of the right hand had static tremors. When the lying posture changed into a sitting posture, the blood pressure difference was 30-50mmHg. The patient felt dizzy and had a difficult time balancing after standing up. HCY 17.9umol/L. Ultrasound of the pelvic cavity: Benign Prostatic Hyperplasia.
Treatment:
The patient received treatment to improve the blood circulation, get rid of oxygen free radical in brain, and he received nourishment for the neurons. We also protected the heart and reduced the HCY. The patient received treatment to alleviate the Benign Prostatic Hyperplasia. This was combined with physical rehabilitation training.
Post-treatment:
The patient has better mental status. The weakness and stiffness in the limbs have been alleviated. The coughing and swallowing problems have been alleviated. The frequency of urination has been decreased. The bowel movements are more regular. The skin color of both lower limbs is almost normal. The small tremors in the tongue muscle have been alleviated. The static tremors in the right hand have been alleviated. The patient can now stand up and turn around normally. The walking gait is almost normal. When the lying posture is changed to the sitting posture, the blood pressure difference is 0-20mmHg. The patient still feels dizzy occasionally after standing up. He is able to finish the finger-to-nose test, rapid rotation test and digit opposition test in a stable manner. The patient's balance has noticeably improved. He can stand and balance himself while standing on one leg.
(Download the Windows Media Player Firefox Plugin if you are using Firefox browser.
To know more,Please read Using the Windows Media Player plugin with Firefox.)
