How long can vascular parkinsonism live?
summary
Some diseases or factors can produce clinical symptoms similar to Parkinson's disease (PD). The disease is caused by infection, drugs (dopamine receptor blockers, etc.), poisons (MPTP, carbon monoxide, manganese, etc.), vascular (multiple cerebral infarction) and brain trauma, which is clinically called Parkinson's syndrome. Some scholars call Parkinson's disease (PD) as Parkinson's syndrome together with the above diseases with similar clinical symptoms. Vascular Parkinson's syndrome (VP) is caused by cerebrovascular diseases, such as multiple lacunar infarction, lacunar state of basal ganglia, amyloid angiopathy, subcortical leukoencephalopathy, etc.
How long can vascular parkinsonism live?
Parkinson's disease is generally a disease that the middle-aged and elderly people will get. When they get Parkinson's disease, they must be treated in time, which is helpful for the improvement of the condition. Generally, in patients with Parkinson's disease, life expectancy is uncertain. Normally, patients can live for about two to twenty years, depending on the patient's condition and physical condition.
Parkinson's disease is a chronic progressive disease with high heterogeneity. The speed of disease progression is different in different patients. There is no cure. Early patients through drug treatment can be very good to control symptoms, to the middle of the disease, although drugs still have a certain role, but often due to the emergence of exercise complications lead to a decline in the quality of life. In the late stage of the disease, due to the poor response to drugs, the symptoms can not be controlled, the patients can be stiff, can not take care of themselves, and even stay in bed for a long time, and eventually die of pneumonia.
Clinically, VP patients are usually accompanied with hypertension, diabetes or hypertension and diabetes; The pathological changes of VP patients were mainly lacunar infarction in the basal ganglia such as caudate nucleus, internal capsule, globus pallidus, putamen and midbrain, and vascular lesions in frontal white matter. Therefore, in terms of treatment, we should pay special attention to early treatment, and at the same time, we should pay attention to the principle of combining holistic comprehensive treatment with individualized treatment. According to different clinical conditions, different etiology and pathology, targeted treatment measures should be taken. For this reason, we can give the treatment of improving circulation, early brain protective agents (calcium channel blockers, free radical scavengers, magnesium preparations, excitatory amino acid receptor NMDA antagonists and brain activating agents, etc.). According to the different conditions of VP patients, hyperbaric oxygen therapy and Ginkgo biloba leaf preparation can be added on the basis of the above treatment, and some patients can get some relief of symptoms.
matters needing attention
The course of Vascular Parkinson's syndrome (VPS) shows a ladder like progression. At present, there is no radical cure method. Most patients can continue to work after several years of onset, and can also rapidly develop disability. VP patients also had dementia and spontaneous remission. The cause of death is usually pneumonia, fracture and other complications.
