A 62-year-old man presents with progressive tremor at rest that worsens with stress and anxiety. He also reports difficulty initiating gait, stooped posture, and bradykinesia. On examination, you note a 4-Hz tremor of the hands that disappears with intentional movement. His wife reports he has become withdrawn and depressed over the past year. Which of the following is the most likely diagnosis?
- A)Essential tremor
- B)Parkinson diseaseGABARITO
- C)Huntington disease
- D)Dystonia
- E)Cerebellar ataxia
Explicação
The classic triad of Parkinson disease includes resting tremor (4-6 Hz, improves with action), rigidity, and bradykinesia. The stooped posture, gait initiation difficulty, and psychiatric features (depression, withdrawal) are consistent with PD. Levodopa respo... Ver explicação completa e trilha adaptativa →