Etiology

  • Idiopathic (most common)

  • Drug-induced (antipsychotics)

  • Genetic forms (LRRK2)

Pathogenesis

  • Loss of dopaminergic neurons in substantia nigra

  • Lewy bodies (α-synuclein)

Clinical Features

  • Resting tremor

  • Bradykinesia

  • Rigidity

  • Shuffling gait

  • Masked facies

Treatment

  • Levodopa/carbidopa

  • Dopamine agonists

  • MAO-B inhibitors

  • DBS in advanced cases