My dad has been diagonised and the report says that he has a possibility for Pakinson plus syndrome-MSA-P .The MRI done showed evidence of cerebellar atrophy. Diffuse cerbellar and cerebral volume loss was found. The medications given to him were for Parkinsons disease like syndopa,ropark. Can u tell me about cerebellar atrophy? Is this an early stage of parkinson's disease? Is there a cure for this?
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to examine your dad and obtain a history and review the imaging, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.
MSA-P, or multi-system atrophy-Parkinsonism type, is what is termed a parkinson's plus syndrome. Basically, there are some features of Parkinson's disease, but there are additional features, such as cerebellar ataxia. Ataxia is basically a constellation of physical examination findings such as unsteadiness, wide-based gait, inability to coordinate movements etc. The cerebellum is part of the brain at the posterior aspect, and is involved in gait steadiness among several other functions. The diagnosis is really a clinical one (based on examination) but can be supported by MRI findings. There is unfortunately not a test that can definitively make the diagnosis of MSA, and there is no cure. Treatment is symptomatic, treat the symptoms, but not the underlying disorder. Some patients respond to the treatments for parkinson's disease, such as levodopa, for a time. Physical therapy for gait is another important management component, as is assessment of swallowing to ensure that aspiration leading to pneumonia does not occur.
There are several causes of cerbellar atrophy, including but not limited to excessive alcohol intake, some medications, some genetic disorders, such metabolic/genetic disorders, some vitamin deficiencies, and others. These are usually clinically distinguished, with support by laboratory findings in some cases.
Evaluation by a movement disorders specialist (a neurologist specialized in movement disorders) may be of benefit.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.