By Andre Machado, Mayur Pandya, Dr. Hubert Fernandez MD
This is a quick-access, pocket-sized consultant to the analysis and remedy of all significant move issues. Written for busy practitioners who desire a right away reference on the bedside, it provides scientific, behavioral, surgical, and nonpharmacological techniques in an improved define and bulleted format.
The revised and accelerated moment variation is split into 4 handy sections. The clinical part presents a kick off point for assessing and treating sufferers who current with a stream ailment and publications practitioners throughout the medical presentation, analysis, and paintings up of all significant ailment different types. a brand new part on psychiatric concerns delves into the behavioral positive aspects that sometimes appear with Parkinson disorder, Huntington sickness, Tourette syndrome, and in addition covers conversion problems with concomitant circulation abnormalities. The surgical method part has been thoroughly up to date to include fresh advances in practical neurosurgery together with deep mind stimulation. the ultimate part on non-pharmacologic cures comprises informative chapters on actual and occupational treatment, speech and swallowing assessment and treatment, and nutrition.
The moment version additionally comprises new information regarding sleep-related flow problems and covers therapy of Parkinson ailment in better intensity. Loaded with tables, algorithms, and stream charts that illustrate key thoughts, define administration of problems, and spotlight very important information regarding analysis and remedy, this publication is a hugely necessary addition to the wallet of all clinicians who paintings with sufferers with circulation disorders.
- 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 stream problems
- Written concisely in elevated define, bullet-point layout for speedy entry to info
- Emphasizes analysis, work-up, and remedy
- Packed with administration algorithms, tables, and movement charts outlining drug dosing, negative effects, and different healing regimens
Read Online or Download A Practical Approach to Movement Disorders, 2nd Edition: Diagnosis and Management PDF
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Additional info for A Practical Approach to Movement Disorders, 2nd Edition: Diagnosis and Management
Myoclonus often arises from lesions elsewhere in the central nervous system and does not appear to be related primarily to any basal ganglia pathology. ▪▪ Lesions that produce myoclonus may be located in the cerebral cortex (cortical reflex myoclonus), brainstem (reticular reflex myoclonus, hyperekplexia, rhythmic brainstem myoclonus, ocular myoclonus), or spinal cord (rhythmic segmental myoclonus, nonrhythmic propriospinal myoclonus). Restless legs syndrome is defined as a syndrome induced by a desire to move the legs.
Scanning dysarthria”: words are broken into syllables. • Voice tremors. Abbreviations: ET, essential tremor; PD, Parkinson’s disease. ▪▪ For patients with disabling tremors not responding to usual doses, the dose can be escalated as tolerated. Side effects from medications are usually the limiting factor. 10,11 Essential tremor. 7). ▪▪ There is often a better response for hand tremors than for voice and head tremors. ▪▪ The dose range for propranolol is from 10 to 60 mg divided 3 times per day, and for the long-acting formulation the range is 60 to 320 mg 1 or 2 times per day.
20 Palatal tremors. Fortunately, palatal tremors are usually not disabling. Patients who are bothered by the ear click associated with essential palatal tremor may benefit from pharmacologic treatment with trihexyphenidyl, valproate, or flunarizine. 21 Drug-induced tremors. The treatment for drug-induced tremors usually consists of discontinuation or reduction of the dose of the offending agent. Wilson’s disease. Patients should adhere to a diet low in copper and avoid foods with a high copper content.