Post traumatic parkinsonism (PTP)
Evidence-based neurology checklist on post traumatic parkinsonism (ptp): Risk features Parkinsonism can develop after traumatic brain injury (TBI) This can develop with or without any brain lesions The most frequent causes of TBI are motor vehicle accidents and falls The onset of parkinsonian is…
Risk features
- Parkinsonism can develop after traumatic brain injury (TBI)
- This can develop with or without any brain lesions
- The most frequent causes of TBI are motor vehicle accidents and falls
- The onset of parkinsonian is within 1–6 months in 47% of cases
- It can start up to a year after TBI in subjects older than 60 years
- The severity of PTP is proportional to the severity of brain injury
- There is associated accumulation of Lewy bodies
Clinical features
Course
Differential diagnosis: in the context of TBI
Treatment
Investigational treatments
References
- Ferrazzoli D, Ortelli P, Versace V, Set al. Post-traumatic parkinsonism: The intricate twist between trauma, inflammation and neurodegeneration. A narrative review. J Neurol Sci 2024; 466:123242.
- Rojvirat C, Arismendi GR, Feinstein E, Guzman M, Citron BA, Delic V. Systematic review of post-traumatic parkinsonism, an emerging parkinsonian disorder among survivors of traumatic brain injury. Neurotrauma Rep 2024; 5:37-49.
- Bower JH, Maraganore DM, Peterson BJ, McDonnell SK, Ahlskog JE, Rocca WA. Head trauma preceding PD: a case-control study. Neurology 2003; 60:1610-1615.
- Jafari S, Etminan M, Aminzadeh F, Samii A. Head injury and risk of Parkinson disease: a systematic review and meta-analysis. Mov Disord 2013; 28:1222-1229.
- Gardner RC, Byers AL, Barnes DE, Li Y, Boscardin J, Yaffe K. Mild TBI and risk of Parkinson disease: A Chronic Effects of Neurotrauma Consortium Study. Neurology 2018; 90:e1771-e1779.
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