Calf ‘claudication’ and Parkinson disease
69years old male presented with the complaints of B\L intermittent claudication and were most sever in his right leg. He also complaints of tingling sensation in the right calf and popliteal fossa. He was an ex-smoker and a history of Parkinson’s disease; under (dopaminomimetic medications )and ischemic heart disease….He had previously undergone angioplasty of a left common artery stenosis.
On examination, there was present of resting tremor and bradykinesis. Radial pulse was 86 /min, good B/L femoral pulses and palpable popliteal and pedal pulses. Duplex showed normal vascular architectures. Arteriogram shows also normal. He was managed with increases the dose of dopaminergic therapy, after few days his symptoms relived and back to normal.
This history shows that the clinical manifestation of Parkinson disease lies in the fact that it mimics the clinical presentation of peripheral vascular disease so be sure before doing overenthusiastic investigations like arteriogram.
References:
1. Partinen M. Sleep disorder related to Parkinson’s disease. J Neurol. 1997;244:S3–S6. [PubMed]
2. Scott B, Borgman A. Gender differences in Parkinson’s disease symptom profile. Acta Neurol Scand. 2000;102:37–43. [PubMed]
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Filed Under: Discussion • Medicine
thank u …but i didnt understand wat is case or link between calf caludication n parkinson’s disease…?????
thank you drmanik
this is a case of Parkinson’s disease but came with the chief complaints of calf claudication ..for which he had undergone several investigations but no abnormalities detected..lastly his dopaminergic drugs doses has increases after several days his claudication decrease .
Parkinson disease patient could have the symptoms of claudication
with out any vascular abnormality..
On that patient the claudication is only due to Parkinson disease but mechanism not known.
Thank you! I would now go on this blog every day!
Thanks
thank you dougles….