| Parkinson Disease Parkinson disease (PD) is characterized by a slowing of voluntary movements,
bradykinesia, muscular rigidity and tremor at rest. These abnormalities result from
a reduction of neurons that make dopamine in the pars compacta of the substantia
nigra. The axons of these neurons normally release this neurotransmitter where they
synapse, in parts of the basal ganglia called the caudate nucleus and putamen or,
collectively, the corpus striatum. Dopamine usually works as an inhibitory
neurotransmitter in the corpus striatum where it acts on cholinergic neurons.
Lewy bodies, a hyaline inclusion, are seen microscopically in the
cytoplasm of residual neurons in the substantia nigra of nearly all patients with
Parkinsonism. The loss of neurons results in a grossly evident depigmentation of the
substantia nigra because those dopaminergic neurons also contain the pigment neuromelanin
in their cytoplasm.
There are various causes for the loss of dopaminergic neurons in the
substantia nigra and the resultant signs of PD. Some evidence exists for involvement
of genetic factors in the pathogenesis of PD. For example, several large families
with an autosomal, dominant inheritance pattern of PD have now been described, and the
first genetic locus for PD has been identified in one of those families.
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Lewy Body
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