Two Years Audit of Parkinsonism Patients at Royal Commission Hospital Yanbu, Kingdom of Saudi Arabia

  • Sajjad Naseer Department of Internal Medicine, Akhtar Saeed Medical and Dental College, Bahria Town, Lahore
  • M. Azhar Shah Department of Internal Medicine, Akhtar Saeed Medical and Dental College, Bahria Town, Lahore
  • Khurshid Akbar Department of Internal Medicine, Akhtar Saeed Medical and Dental College, Bahria Town, Lahore
  • Zafar Iqbal Department of Internal Medicine, Akhtar Saeed Medical and Dental College, Bahria Town, Lahore
  • S. N. Siddique Department of Internal Medicine, Akhtar Saeed Medical and Dental College, Bahria Town, Lahore
  • M. Anwar Department of Neurosurgery, LGH, Lahore
Keywords: Parkinsonism, idiopathic parkinsonism, Parkinson`s disease (PD)


Introduction: Parkinson`s disease (PD) is the second most common neurodegenerative condition affecting patients. It is broadly classified as `movement disorder’ with a variety of clinical features, including bradykinesia, rigidity and tremor. PD is better defined as multisystem neurodengerative disorder causing a large number of motor and non-motor complications. In this study we described our experience regarding follow up parkinsonism patients.
Objectives: To determine clinical outcome in patients of Parkinsonism in our setup.
Materials and Methods: This was a retrospective as well as follow up of new patients of Parkinson`s disease in the department of neurology at Royal Commission hospital Yanbu – one of the biggest industrial city of Kingdom of Saudi Arabia. Duration of study was two years; from January 2011 to December 2012. This study included 50 patients with diagnosed case of Parkinsonism and newly diagnosed cases.
Results: The age range was 40 – 110 years; there were 4 patients (8%) of age range 40 – 41 years, 2 patients (4%) of age range 46 – 50 years, one patient (2%), 7 patients (14%) of age range 61 – 65 years, 11 patients (22%) of age range 66 – 70 years, 2 patients (4%) of age range 86 – 90 years and one patient (2%) was of 110 years. The last patient mentioned has a daughter who was 80 years of age and was included in the study. Around 45 patients were diagnosed for the first time as case of Parkinsonism and these were started on management / treatment with good clinical improvement.
Conclusions: Not all the patients need to commence treatment at time of diagnosis, but drugs should be started when symptoms begin to interfere with daily life. We found that all such patients when prescribed treatments sho-wed excellent improvement in terms of activities of daily life.


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