Revised Third Edition of the practical yet authoritative guide to diagnosis and treatment of movement disorders. Written in an expanded outline format, this book is packed with flow charts, algorithms, and tables to provide quick access to point-of-care information. Easy-to-read and thoroughly up-to-date, this new edition includes the latest diagnostic and treatment protocols, recent FDA-approved drugs, and non-pharmacological therapies. With coverage of all major disease categories, this essential handbook belongs in the pocket of any clinician who suspects a movement disorder in a patient.
The book is organized by medical, behavioral, surgical, and non-pharmacological treatment approaches to movement disorders. Opening chapters walk the practitioner through clinical presentation, diagnosis, and work-up of common and uncommon disorders, sleep-related movement disorders, eye and vestibular function, including pediatric issues. Behavioral and psychiatric complications for Parkinson disease, Huntington disease, and Tourette syndrome follow, with a fully reconfigured chapter on functional movement disorders, incorporating changes in classification and treatment approach. Expanded chapters on surgical devices and indications address deep brain stimulation surgery; lesioning, shunts, and pumps; post-operative care; and neuropsychological, social, and ethical issues. The final section on non-pharmacological approaches covers physical and occupational therapy, speech and swallowing therapy, nutrition, and palliative care.
Key Features:
Thoroughly revised and updated third edition of popular practical resource for busy clinicians
Incorporates most recent evidence for the pharmacological, behavioral, surgical, and non-pharmacological treatment of the full spectrum of movement disorders
Expanded bullet-point outline format for quick access to essential information
Loaded with illustrative flow charts, algorithms, and tables outlining drug dosing, side effects, and other therapeutic treatments
Author(s): Hubert H. Fernandez, Benjamin Lee Walter, Taylor E. Rush, Anwar Ahmed
Edition: 3
Publisher: Demos Medical
Year: 2021
Language: English
Tags: Movement Disorders; Physical Medicine & Rehabilitation; Neurology; Exercise Injuries & Rehabilitation; Physiotherapy
Cover
Title
Copyright
Contents
Contributors
Preface
Acknowledgments
Part I: Getting Started
Chapter 1: The Body Language of Movement Disorders
Basic Pathophysiological Concepts
Prevalence of Movement Disorders
Approach to the Patient with a Movement Disorder
Hypokinetic Disorders (The Akinetic-Rigid Syndrome)
Hyperkinetic Disorders
References
Further Reading
Part II: Diagnostic and Pharmacological Approach to Movement Disorders
Chapter 2: Tremors
Pathophysiology
Classification of Tremors
Clinical Disorders
Evaluation of the Tremulous Patient
References
Chapter 3: Parkinsonism
Introduction
Definition of Parkinsonism
Proposed Classification
Epidemiology of Parkinsonism
When to Suspect If Parkinsonism Is Not Due to Parkinson Disease
Approach to Parkinsonism
Neuroimaging
Diagnosis of Most Common Causes of Parkinsonism
References
Chapter 4: Parkinson Disease
Overview of Parkinson Disease
Pathology
GBA (Glucocerebrosidase)
Neuroprotection Trials
Diagnosis and Symptoms
Treatments
References
Chapter 5: Dystonia
Phenomenology of Dystonic Movements
Classification of Dystonia
Treatment
References
Chapter 6: Chorea
Definitions
Chorea
Ballism
Athetosis
Akathisia and Restless Legs Syndrome
References
Chapter 7: Spasticity
Definition
Causes of Spasticity
Impact of Spasticity
Benefits of Spasticity
Evaluation of Spasticity
Components of Spasticity
Management of Spasticity
Botulinum Toxin Injections for Spasticity
Intrathecal Baclofen Pump for Spasticity Management
References
Chapter 8: Myoclonus
Definition and Phenomenology
Epidemiology
Evaluation and Approach
Treatment
References
Chapter 9: Ataxia
Definition
Etiology
Inherited Ataxias
Sporadic Ataxia
Acquired Ataxia
History
Clinical Examination/Neurological Findings
Ataxia Work Up and Diagnosis
Treatment
References
Chapter 10: Tics
Definition
Characteristics of Tics
Epidemiology/Pathogenesis/Pathophysiology
Evaluation
Treatment
References
Chapter 11: Sleep-Related Movement Disorders
Movement Disorders Occurring Only During Sleep/Falling Asleep and Disappearing When Awake
Movement Disorders Happening When Awake, But Frequently Persisting During Sleep
References
Chapter 12: Approach to Eye and Vestibular Function in Movement Disorders
Introduction
Definitions and Key Differentiating Features of Disorders Affecting the Stable Gaze
Examination and Interpretation of Common Disorders of Gaze-Holding
Ten Rules of Eye Movement and Vestibular Examination
Chapter 13: Key Concepts in Pediatric Movement Disorders
Special Pediatric Population Considerations
Developmental Movement Disorders
References
Part III: Behavioral Issues in Movement Disorders
Chapter 14: The Psychiatric Assessment
Introduction
The Psychiatric Interview
Mental Status Examination
Diagnosis
Treatment
Further Reading
Chapter 15: Psychiatric Issues in Parkinson Disease
Introduction
Examination of the Patient
Depression and Anxiety
Apathy
Cognitive Impairment
Psychosis
Impulse Control Disorders and Other Dysregulated Behaviors
References
Chapter 16: Psychiatric Issues in Huntington Disease
Introduction
Genetic Testing
Cognitive Dysfunction
Mood Disorders
Psychosis
Sleep Disorders
References
Chapter 17: Psychiatric Issues in Tourette Syndrome
Introduction
Tics and Behavior
Psychiatric Comorbidity
References
Chapter 18: Approach to Functional Movement Disorders
Introduction
Epidemiology of Functional Neurological Disorder
Historical Perspective
Diagnosis
Etiology and Factors Associated with Functional Movement Disorders
Treatment
References
Part IV: Surgical Approach to Movement Disorders
Chapter 19: Deep Brain Stimulation Surgery: Indications, Devices, Techniques, and Procedure
Introduction
Indications and Clinical Efficacy
Deep Brain Surgery Stimulation Devices
Surgical Techniques and Procedures
References
Chapter 20: Lesioning, Shunts, and Pumps
Lesioning
Surgical Modalities
Shunts (Continuous Cerebrospinal Fluid Drainage)
Pumps
References
Chapter 21: Post-Operative Care, Programming, and Troubleshooting
Basics of Electrical Stimulation
Initial Programming
Impedances
Anatomical Considerations
Monopolar Review
Follow Up Programming Strategies
Long-Term Follow Up
Troubleshooting Stimulation Problems
On the Horizon
References
Chapter 22: Neuropsychological, Social, and Ethical Issues in Functional Neurosurgery
A Neuroanatomical Rationale for Neuropsychological Assessment in Functional Neurosurgery for Movement Disorders
The Role of a Neuropsychologist on a Movement Disorders Surgical Team
Neuropsychology and Clinical Ethics
Risk/Benefit
Inclusion/Exclusion
Autonomy and Shared Decision-Making
Quality of Life and Patient’s Benefit
Neuropsychologist’s Role After Surgical Intervention
References
Part V: Nonpharmacological Approach to Movement Disorders
Chapter 23: Exercise and Physical Therapy
The Role of Exercise in the Management of Parkinson Disease
A Multidisciplinary Team Approach to Management of Movement Disorders
Barriers to Exercise
Exercise Self-Efficacy
Physical Therapy in Parkinsonism and Other Movement Disorders
The Falling Patient
References
Chapter 24: Occupational Therapy and Useful Devices
The Role of the Occupational Therapist
Occupational Therapy Interventions
When to Refer to an Occupational Therapist
References
Chapter 25: Speech and Swallowing Therapy
Speech and Swallowing Abnormalities Associated with Movement Disorders
Evaluation of Motor Speech
Evaluation of Cognitive-Linguistic Disorders
Evaluation of Swallowing
Parkinson Disease
Motor Speech, Cognitive-Linguistic, and Swallowing Disorders in Multiple System Atrophy
Motor Speech, Cognitive-Linguistic, and Swallowing in Progressive Supranuclear Palsy
Speech and Swallowing in Corticobasal Degeneration
Speech and Swallowing in Syndromes of Progressive Ataxia
Speech and Swallowing in Huntington Disease
Speech and Swallowing in Wilson Disease
Speech and Swallowing Disorders in Dystonia
Speech and Swallowing Disorders in Tardive Dyskinesia
References
Appendix A: Grandfather Passage
Chapter 26: Nutritional Considerations
The Malnourished Patient: Unintended Weight Loss in Movement Disorders
Nutrition in Parkinson Disease
Nutrition in Other Parkinsonian Disorders
Nutrition in Choreiform Disorders
Nutrition in Ataxia
Nutrition in Tardive Dyskinesia
Nutritional Derangements as a Cause of Movement Disorders
Swallowing Dysfunction in Patients with Movement Disorders
Evidence on Nutritional Supplements
References
Chapter 27: Palliative Care and Hospice
Palliative Care in Neurology
Timing
Models
Symptom Assessment and Management
Psychosocial Support
Bridging Patients and Neurologists
Advance Care Planning
Hospice
Physician-Assisted Death
References
Index
