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Parkinson's Disease Without Motor Symptoms

O'Rourke, Deborah

doi: 10.1097/01.NNN.0000441114.91387.d1
Departments: Letters

I appreciate your explanation in the June/July issue of Neurology Now regarding postponing diagnosis of Parkinson's disease (PD) in people without motor symptoms ( However, I wonder if your response would be different for someone with multiple non-motor symptoms or with an increasing problem with micrographia. I too have decreased ability to detect odors; in addition, my handwriting makes signing papers difficult. I don't have any gross motor defects but sense occasional right-sided internal tremors in my thigh and hand which are not visible. Perhaps I'm just too concerned because my mother has had PD for 15 years, but her initial symptoms were the same. Do you recommend I look for a neurologist now or wait for gross motor symptoms? I am 61 years old, otherwise in excellent health and on no medications.

Deborah O'Rourke

© 2013 American Academy of Neurology