How does moderate phase Parkinsons affect the face?

How does moderate phase Parkinsons affect the face?

Neal Hermanowicz (Director of the Movement Disorders Program) gives expert video advice on: How does moderate phase Parkinsons affect dexterity?; How does moderate phase Parkinsons affect body motion?; What are the sexual effects of moderate Parkinson's? and more...

The facial changes in moderate Parkinsons Disease may involve just a lessening further of facial expressiveness. People may have not exactly a fixed expression on their face, but it may be conveyed as distinctly less expressive in conversation - a sense that the patient does appear to be sad or depressed or angry in some fashion, more persistently during the course of the day. I have to emphasize this doesn't affect everybody. I certainly have lots of patients who have what I would call moderate Parkinsons Disease, who are still pretty good at their facial expressiveness. But in some people, it will be exacerbated as the disease changes over time.