Download Disorders of Movement: A Guide to Diagnosis and Treatment by Davide Martino, Alberto J. Espay, Alfonso Fasano, Francesca PDF

By Davide Martino, Alberto J. Espay, Alfonso Fasano, Francesca Morgante

This concise yet complete e-book may help readers within the wellbeing and fitness care professions to navigate their method throughout the jungle of circulation issues, together with the doubtless complicated differential analysis and administration. the several issues are mentioned in person sections that specify the way to study the sufferer and realize the sickness from its uncomplicated phenomenology, the best way to be sure a analysis, the right way to distinguish a specific ailment from comparable stipulations, and the way to regard every one affliction successfully. The ebook makes liberal use of diagrams, algorithms, tables, precis containers, and illustrations to facilitate resolution of medical difficulties on the bedside and to solidify formerly realized medical and healing techniques. it is going to be of curiosity to a huge viewers of well-being execs, scientists, and clinical scholars.

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Additional resources for Disorders of Movement: A Guide to Diagnosis and Treatment

Sample text

As the disease progresses, motor fluctuations with end-of-dose wearing-off symptoms or peak-dose dyskinesia are inevitable. Initially the fluctuations will respond well to medication manipulation. g. 15) (consider ablation if fragile patient) Fig. 13 Basic treatment algorithm for the treatment of Parkinson’s disease. Additional layers of complexity such as medical comorbidities and psychiatric, autonomic, or cognitive complications are not included in this suggested algorithm. Infusion therapies refer to levodopa intestinal gel and apomorphine infusion by increasing the individual doses of l-dopa (which may worsen dyskinesias), decreasing the interdose interval or adding an adjunctive medication such as a MAO-B inhibitor, DA or catechol-O-methyltransferase (COMT) inhibitor.

As the disease progresses, motor fluctuations with end-of-dose wearing-off symptoms or peak-dose dyskinesia are inevitable. Initially the fluctuations will respond well to medication manipulation. g. 15) (consider ablation if fragile patient) Fig. 13 Basic treatment algorithm for the treatment of Parkinson’s disease. Additional layers of complexity such as medical comorbidities and psychiatric, autonomic, or cognitive complications are not included in this suggested algorithm. Infusion therapies refer to levodopa intestinal gel and apomorphine infusion by increasing the individual doses of l-dopa (which may worsen dyskinesias), decreasing the interdose interval or adding an adjunctive medication such as a MAO-B inhibitor, DA or catechol-O-methyltransferase (COMT) inhibitor.

Myoclonus At least 1 of these in one limb: (a) Rigidity or akinesia (b) Dystonia (c) Myoclonus Plus 2 of these 3: 1. Orobuccal or limb apraxia 2. Cortical sensory deficit 3. Alien limb phenomena Plus at least 1 of these: (a) Orobuccal or limb apraxia (b) Cortical sensory deficit (c) Alien limb phenomena Adapted from Armstrong et al. [66] These criteria allow categories of clinically possible and probable CBD. 7 Overlapping clinical features between PSP and CBS and the frequency of the reported pathologies PSP Main motor phenotype Cognitive impairment Speech Language Saccades Common pathologies (approx.

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