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

This is a quick-access, pocket-sized advisor to the analysis and therapy of all significant move issues. Written for busy practitioners who want an instantaneous reference on the bedside, it offers clinical, behavioral, surgical, and nonpharmacological methods in an multiplied define and bulleted format.

The revised and multiplied moment version is split into 4 handy sections. The scientific part offers a place to begin for assessing and treating sufferers who current with a stream sickness and publications practitioners during the medical presentation, analysis, and paintings up of all significant sickness different types. a brand new part on psychiatric concerns delves into the behavioral positive aspects that sometimes happen with Parkinson illness, Huntington illness, Tourette syndrome, and in addition covers conversion problems with concomitant flow abnormalities. The surgical method part has been thoroughly up-to-date to include fresh advances in useful neurosurgery together with deep mind stimulation. the ultimate part on non-pharmacologic cures contains informative chapters on actual and occupational remedy, speech and swallowing assessment and remedy, and nutrition.

The moment version additionally contains new information regarding sleep-related circulation issues and covers remedy of Parkinson disorder in higher intensity. Loaded with tables, algorithms, and circulation charts that illustrate key thoughts, define administration of problems, and spotlight very important information regarding analysis and therapy, this publication is a hugely precious addition to the wallet of all clinicians who paintings with sufferers with stream disorders.

Key Features:

  • Completely revised and up to date moment version of renowned useful source for busy clinicians
  • Covers clinical, psychiatric, surgical, and nonpharmacologic techniques to every kind of move problems
  • Written concisely in multiplied define, bullet-point structure for fast entry to details
  • Emphasizes prognosis, work-up, and remedy
  • Packed with administration algorithms, tables, and stream charts outlining drug dosing, negative effects, and different healing regimens

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Additional info for A Practical Approach to Movement Disorders, 2nd Edition: Diagnosis and Management

Example text

2 Schematic and simplified synopsis of the brain regions and pathways involved in tremorogenesis. See text for details. , inhibitory; SCP, superior cerebellar peduncle; SNc, substantia nigra, pars compacta; SNr, substantia nigra, pars reticulata; STN, subthalamic nucleus; VIM, ventrointermediate nucleus of thalamus. From Ref. 4: Puschmann A, Wszolek ZK. Diagnosis and treatment of common forms of tremor. Semin Neurol 2011;31(1), 65–77, with permission. 29 2 T r e mor s ▪▪ One is the corticostriatothalamocortical loop through the basal ganglia.

Task-specific tremor. Task-specific tremor emerges during a specific activity. An example of this type is primary writing tremor. 1 Tremor Characteristics by Condition Diagnosis Predominant Tremor Remarks Parkinson’s disease Resting Associated symptoms include rigidity, bradykinesia, and postural instability. Usually an elderly patient (> 50 y) with asymmetric onset, 4–6 Hz. Essential tremor Postural and kinetic Usually symmetric, responds to alcohol, bimodal age at onset (teens, > 50 y), 4–10 Hz.

Wilson’s disease is often accompanied by liver disease and psychiatric manifestations (eg, depression, anxiety, psychosis). 4). Diagnostic Testing A laboratory workup is not necessary for most patients with tremor. 5). Treatment PARKINSON’S DISEASE. 6). ▪▪ Levodopa is the most efficacious medication, sometimes resulting in dramatic tremor suppression. It may be combined with dopamine agonists or anticholinergic agents in patients with resistant tremors. 4 Clinical Examination of the Tremulous Patient Technique Examination Technique Findings Observe What is the affected body region?

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