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Parkinson's Disease af Mind Map: Parkinson's Disease

1. pharmacological

1.1. Placebo effect ?

1.2. Side Effects

1.2.1. sleep disorders

1.2.2. drug interactions

1.2.3. L-Dopa

1.2.3.1. dyskinesia

1.2.3.2. on/off effects

1.2.3.3. nausea

1.2.4. psychosis

1.2.5. Abnormal sex behaviour

1.3. Oral treatment

1.3.1. Drugs

1.3.1.1. L-Dopa

1.3.1.1.1. loss of efficiacy after some years

1.3.1.2. Carboxylase Inhibitors

1.3.1.2.1. Benserazide

1.3.1.2.2. Carbidopa

1.3.1.3. MAO-B Inhibitors

1.3.1.4. Anticholinergic

1.3.1.5. Amantadine

1.3.1.6. Dopamine Agonists

1.3.1.7. Combination of several drugs

1.3.1.8. COMT Inhibitors

1.4. Advanced (pump) treatment

1.4.1. Duodopa pump

1.4.2. Apomorphine pen/pump

2. Treatment of PD (incurable so far)

2.1. experimental

2.1.1. Stem Cell Therapy

2.1.2. TMS

2.1.3. gene therapy

2.2. social

2.2.1. Cyper-Support (Internet support)

2.2.2. Social care and Support

2.2.3. Doctor Patient Relationship

2.2.4. Family Support

2.3. Community

2.3.1. Awareness

2.3.2. Health Care Providers

2.3.2.1. specialist PD Nurses

2.3.3. Charity

2.3.4. Parkinsons' Patient Organisation

2.3.5. Home Care

2.4. other

2.4.1. Psychiatric/psychological therapy

2.4.2. physiotherapy

2.4.3. speech/language therapy

2.4.4. sport/physical exercise

2.4.5. diat

2.4.5.1. Role of natural fruits/ black berries

2.4.6. Faith/Religiousity

2.5. education

3. Babiński's sign absent

4. Funding

4.1. Non profits

4.1.1. Michael J Fox Foundation

4.1.2. Parkinson UK

4.2. Public

4.2.1. UK NHS

4.2.2. EU (Framework Programmes)

4.2.3. US NIH

4.3. Big Pharmas

4.4. Patients

4.4.1. Crowdfunding

4.5. National/International funding?

5. tremor

6. Etiology

6.1. Genetics

6.1.1. Dominant Gene

6.1.2. Recessive Gene

6.1.3. Genetic mutations

6.1.3.1. SNCA

6.1.3.2. PARKIN

6.1.3.3. PINK

6.1.3.4. DY-1

6.1.3.5. LRRK2

6.2. Infectious

6.3. Toxic

6.3.1. Alcholic

6.3.2. Pesticides

6.3.3. MPTP

6.3.4. Copper

6.4. Unknown

6.5. Mitochondrial Dysfunction

6.6. Protein Agreggation

6.6.1. Amyloid

6.6.2. Lewy-Bodies

6.7. Drug Induced

6.7.1. Metoclopramide

6.7.2. Rotenone

6.8. Imunological

7. diagnosis

7.1. clinical examination

7.1.1. tendon reflexes

7.2. paraclinical examination

7.2.1. EEG

7.2.2. dopamine level measuring

7.2.3. ERPs

7.2.4. genetical testsn

7.2.5. DAT Scans

7.2.6. PET/SPECT scan

8. Research

9. Treatment

10. New node

11. New node

12. constipations

13. How to speed up transition from dishes and animal models to promising Phase I?

14. non-motor symptoms

14.1. sexual disfunctions

14.2. decreased libido

14.3. sleeping disorders

14.4. unmodulated voice

14.5. difficulty swallowing

15. motor symptoms

15.1. akinesy

15.2. rigidity

15.3. hipertony

15.4. loss of balance

15.5. choreic movements

15.6. diskinesia

15.7. movement disorders

15.7.1. fine movement disorders

15.7.2. small steps

16. surgical

16.1. Deep Brain Stimulation

16.2. Surgical Ablation

17. Epidemiology

17.1. 2:3 M:F

17.2. 55-75 years

17.2.1. New node

17.3. #2nd neurodegenerative disorder

17.4. early onset 21-30(genetic, toxins)

17.5. indications that 20% debut before age 40

18. Symptoms

18.1. psychology

18.1.1. anxiety

18.1.2. depression

18.1.3. dementia

18.1.4. psychosis

18.1.5. hallucinations

18.1.6. apathy

18.1.7. changes in behaviour

18.1.7.1. gambling

18.1.7.2. isolation

18.2. disease-related?

18.3. drug-induced?

19. Physiopathology

19.1. DOPAMINE DOWN

19.1.1. New node

19.2. ACETYLCHOLINE UP

19.3. BASAL GANGLIA

19.4. SUBSTANTIA NIGRA

19.5. Dopamine Pathways

19.6. Links with other diseases

19.6.1. Neurodegenerative disease

19.6.2. Parkinson-Altzheimers connections

19.6.3. Parkinson plus diseases

19.6.3.1. Lewy-Body Dementia

19.6.3.2. Supranuclear Palsy

19.6.3.3. Multiple System Atrophy

19.6.4. Secondary Parkinsonism

19.6.4.1. Wilson's disease

19.6.4.2. Traumatic

19.6.4.3. Vascular

19.6.4.4. Medical induced

19.6.4.4.1. anti-psychotics

20. Social Aspects

20.1. Social Isolation

20.2. Public perception of disease

20.3. Social Burden

20.4. Patient Organisation

20.4.1. Parkinson UK

20.5. Economic Burden

20.6. Stigma

20.7. Effect of family

20.8. Famous Parkinson patients

20.8.1. Mohamed Ali

20.8.2. Pope Jean Paul II

20.8.3. Michael J.Fox

20.8.4. Hitler

20.8.5. Andy Grove

21. Psychology Aspects

21.1. Suicide

21.2. Deep damage

21.3. Fear of the unknown

21.4. Isolation