Shivering paralysis (synonymous with Parkinson’s disease) is a chronic progressive disease of the central nervous system with a primary lesion of the subcortical ganglions of the brain, characterized by rhythmic trembling of the limbs, the gradual development of general stiffness and the slowing of active movements. The development of Parkinson's disease contribute to metabolic and endocrine disorders, manifested in the elderly and senile age.
The disease begins at the age of 40-60 years with unstable small-amplitude rhythmic trembling of the hand. After several weeks, months, less years, the trembling spreads to the whole arm or other limbs, head, lower jaw, tongue. The trembling of the fingers resembles the movement of the fingers when rolling pills. In a dream and with active movements, the trembling stops, it is greatly enhanced by emotional stress. There are stiffness and slowness of active movements. These symptoms gradually increase, the expressiveness of movements is lost, impoverishment of facial expressions, sometimes a frozen look, difficulty of speech are observed. The patient's posture changes: the head and torso are tilted forward, the arms are half bent and brought to the lateral surfaces of the torso. When passive movements of the limbs revealed an increase in muscle tone . Changed gait, short step, shuffling, hands do not take part in friendly movements when walking. It is difficult for the patient to start the first movement, then as he moves his step accelerates and sometimes goes into a run, while it is difficult for him to stop on his own. The speech of the patient is quiet, monotonous. Small handwriting. Patients retain the ability to do work with proper employment .
Symptomatic treatment with anticholinergic drugs ( tropacin , artan, parkopan, cyclodol , omparkin); vitamin B6 , etc., therapeutic exercise , pine baths; at indications operation (destruction of a pale ball or its connections with a visual hillock).