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

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

The revised and multiplied moment variation is split into 4 handy sections. The scientific part presents a place to begin for assessing and treating sufferers who current with a move sickness and courses practitioners in the course of the medical presentation, analysis, and paintings up of all significant affliction different types. a brand new part on psychiatric matters delves into the behavioral beneficial properties that sometimes appear with Parkinson illness, Huntington disorder, Tourette syndrome, and in addition covers conversion issues with concomitant circulation abnormalities. The surgical technique part has been thoroughly up to date to include fresh advances in sensible neurosurgery together with deep mind stimulation. the ultimate part on non-pharmacologic remedies contains informative chapters on actual and occupational treatment, speech and swallowing review and remedy, and nutrition.

The moment version additionally contains new information regarding sleep-related flow problems and covers remedy of Parkinson affliction in larger intensity. Loaded with tables, algorithms, and circulate charts that illustrate key innovations, define administration of issues, and spotlight very important information regarding prognosis and therapy, this e-book is a hugely worthy addition to the wallet of all clinicians who paintings with sufferers with flow disorders.

Key Features:

  • Completely revised and up to date moment version of well known functional source for busy clinicians
  • Covers scientific, psychiatric, surgical, and nonpharmacologic methods to all kinds of flow issues
  • Written concisely in increased define, bullet-point layout for speedy entry to details
  • Emphasizes analysis, work-up, and therapy
  • Packed with administration algorithms, tables, and circulation charts outlining drug dosing, unintended effects, and different healing regimens

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

Sample text

In this regard, athetosis can blend with dystonia. ▪▪ However, these involuntary movements can sometimes be faster and blend with those of chorea; the term choreoathetosis is then used. 2 ▪▪ When movements are very large in amplitude and involve primarily the proximal parts of the limbs, causing flinging and flailing limb movements, they are referred to as ballism. ▪▪ Ballism is frequently unilateral and is classically (but not solely) described as resulting from a lesion of the contralateral subthalamic nucleus.

It is present in every normal person while a posture or movement is being maintained. ▪▪ The neurological examination is often nonfocal in patients with physiologic tremor. Enhanced Physiologic Tremor Enhanced physiologic tremor is a high-frequency, low-amplitude, visible tremor that occurs primarily when a specific posture is maintained. ▪▪ Drugs and toxins induce this form of tremor. The suspected mechanism is mechanical activation at the muscular level. Signs and symptoms of drug toxicity or other side effects may or may not be present.

Thyroid disorders, in particular hyperthyroidism, are associated with tremors. Liver function studies Screen for liver disease. Hepatic encephalopathy may be associated with tremors. Complete chemistry Correct metabolic disturbances as necessary. Uremia may induce tremors. Serum ceruloplasmin Usually obtained in patients < 50 y. Twenty-four-hour urine collection for copper excretion is also recommended. Toxicology screen Assess for drug-induced tremors, illicit drug use, toxic etiology (mercury, lead, other).

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