A Practical Approach to Movement Disorders, 2nd Edition: by Andre Machado, Mayur Pandya, Dr. Hubert Fernandez MD

By Andre Machado, Mayur Pandya, Dr. Hubert Fernandez MD

This is a quick-access, pocket-sized advisor to the prognosis and remedy of all significant stream problems. Written for busy practitioners who desire a right away reference on the bedside, it offers clinical, behavioral, surgical, and nonpharmacological techniques in an accelerated define and bulleted format.

The revised and elevated moment version is split into 4 handy sections. The scientific part presents a kick off point for assessing and treating sufferers who current with a circulation disease and publications practitioners throughout the scientific presentation, analysis, and paintings up of all significant illness different types. a brand new part on psychiatric matters delves into the behavioral good points that sometimes take place with Parkinson sickness, Huntington disorder, Tourette syndrome, and likewise covers conversion issues with concomitant stream abnormalities. The surgical technique part has been thoroughly up-to-date to include contemporary advances in useful neurosurgery together with deep mind stimulation. the ultimate part on non-pharmacologic treatments contains informative chapters on actual and occupational treatment, speech and swallowing assessment and treatment, and nutrition.

The moment version additionally accommodates new information regarding sleep-related stream issues and covers therapy of Parkinson sickness in better intensity. Loaded with tables, algorithms, and move charts that illustrate key ideas, define administration of issues, and spotlight very important information regarding prognosis and therapy, this publication is a hugely beneficial addition to the wallet of all clinicians who paintings with sufferers with flow disorders.

Key Features:

  • Completely revised and up to date moment variation of renowned useful source for busy clinicians
  • Covers scientific, psychiatric, surgical, and nonpharmacologic methods to every kind of circulate issues
  • Written concisely in increased define, bullet-point layout for fast entry to info
  • Emphasizes analysis, work-up, and therapy
  • Packed with administration algorithms, tables, and movement charts outlining drug dosing, unwanted side effects, and different healing regimens


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Extra resources for A Practical Approach to Movement Disorders, 2nd Edition: Diagnosis and Management

Example text

There is no problem during sitting or lying down; ▪▪ The tremor rate is between 13 and 18 Hz (via electromyography [EMG]). ▪▪ Treatment includes low-dose clonazepam or primidone. Tremor in Wilson’s disease All tremor types can be seen in Wilson’s disease. This diagnosis should be considered for any patient with a movement disorder presenting before the age of 50 years. ▪▪ Resting and postural tremors are most common. ▪▪ The classic “wing-beating tremor” is not typically seen early in the disease, and it may be refractory to medication.

Finger-to-nose testing. • Postural tremors suggest ET; fastfrequency tremors may suggest exaggerated physiologic tremors; delay in tremors may suggest reemergent tremors, seen in PD. • Intention tremors and ataxia suggest cerebellar or Holmes tremors. • Intention tremors on their own suggest ET. • Intention tremors with dystonia suggest dystonic tremors. Examine for rigidity and bradykinesia, decreased arm swing. • Presence of these suggests PD or any parkinsonian syndrome Examine for task-specific tremor • Tremors manifest only during by asking patient to write.

Botulinum toxin is effective and safe for palatal tremor: a report of five cases and a review of the literature. J Neurol. 2006; 253(7):857–860. 1 The most common cause of parkinsonism is Parkinson’s disease (PD), which is discussed in Chapters 2 and 4. Other neurodegenerative causes of parkinsonism include progressive supranuclear palsy, dementia with Lewy bodies, multiple system atrophy, and corticobasal degeneration. 2 However, 10% to 20% of patients with PD do not have tremor. ▪▪ The tremor in PD is typically resting, although postural tremor and action tremor may be present.

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