Current Concepts In Movement Disorder Management

This book summarizes the current state of movement disorder management and the role of surgical therapies as an alternative to medication. Following a chapter on the history of movement disorder surgery, leaders in their fields describe the pathophysiology, functional neuroanatomy, clinical presentation, and medical management of Parkinson’s disease, dystonia, and essential tremor. This is followed by chapters on the spectrum of movement disorder surgery itself, from the lesioning procedures of radiofrequency ablation, stereotactic radiosurgery, and high-frequency ultrasound to the modulatory procedures of “asleep”, image-guided deep brain stimulation (DBS) and “awake”, microelectrode-guided DBS. The final chapters focus on closed-loop DBS, drug-delivery, gene therapy, and other emerging neurosurgical therapies, highlighting long-standing experimental strategies that are reaching exciting phases of clinical translation. This volume is a valuable tool for accessing the wide spectrum of concepts that currently define this dynamic field.

This is a quick-access, pocket-sized guide to the diagnosis and treatment of all major movement disorders. Written for busy practitioners who need an immediate reference at the bedside, it presents medical, behavioral, surgical, and nonpharmacological approaches in an expanded outline and bulleted format. The revised and expanded second edition is divided into four convenient sections. The medical section provides a starting point for assessing and treating patients who present with a movement disorder and guides practitioners through the clinical presentation, diagnosis, and work up of all major disease categories. A new section on psychiatric issues delves into the behavioral features that typically manifest with Parkinson disease, Huntington disease, Tourette syndrome, and also covers conversion disorders with concomitant movement abnormalities. The surgical approach section has been completely updated to incorporate recent advances in functional neurosurgery including deep brain stimulation. The final section on non-pharmacologic therapies includes informative chapters on physical and occupational therapy, speech and swallowing evaluation and therapy, and nutrition. The second edition also incorporates new information about sleep-related movement disorders and covers treatment of Parkinson disease in greater depth. Loaded with tables, algorithms, and flow charts that illustrate key concepts, outline management of disorders, and highlight important information about diagnosis and treatment, this book is a highly useful addition to the pockets of all clinicians who work with patients with movement disorders. Key Features: Completely revised and updated second edition of popular practical resource for busy clinicians Covers medical, psychiatric, surgical, and nonpharmacologic approaches to all types of movement disorders Written concisely in expanded outline, bullet-point format for quick access to information Emphasizes diagnosis, work-up, and treatment Packed with management algorithms, tables, and flow charts outlining drug dosing, side effects, and other therapeutic regimens

Movement Disorder Emergencies: Diagnosis and Treatment provides a fresh and unique approach to what is already a high-profile subspecialty area in clinical neurology. The disorders covered in this volume are standard fare in the field but emphasize the urgencies and emergencies that can occur. One of the very attractive features of the field of movement disorders is that diagnosis is often based on unique visible and sometimes audible phenomenological symptoms and signs. Therefore, in this era of highly sophisticated laboratory and radiological diagnostic tools, the diagnosis of many movement disorders is still largely made in the clinic where pattern recognition is key. Crucial to astute clinical diagnosis is broad clinical experience. In short, you have to have seen one to recognize one! Patients with movement disorders nearly always present as outpatients but, as aptly recognized by Drs. Frucht and Fahn, this may include acute manifestations leading to emergency presentations, often in an emergency room setting, where they are very likely to be unrecognized and therefore poorly managed. The authors define an “emergency” movement disorder as one in which failure to promptly diagnose and treat may result in significant morbidity or mortality. However, they also stress the importance of certain “can’t miss” diagnoses such as Wilson’s disease, dopa-responsive dystonia, and Whipple’s disease in which delayed diagnosis in less emergent situations can lead to slowly evolving and often irreversible neurological damage with tragic consequences.

Functional Neurologic Disorders, the latest volume in the Handbook of Clinical Neurology series, summarizes state-of-the-art research findings and clinical practice on this class of disorders at the interface between neurology and psychiatry. This 51-chapter volume offers an historical introduction, chapters on epidemiology and pathophysiolology, a large section on the clinical features of different type of functional neurologic symptoms and disorders (including functional movement disorders, non-epileptic seizures, dizziness, vision, hearing, speech and cognitive symptoms), and then concluding with approaches to therapy. This group of internationally acclaimed experts in neurology, psychiatry, and neuroscience represent a broad spectrum of areas of expertise, chosen for their ability to write clearly and concisely with an eye toward a clinical audience. This HCN volume sets a new landmark standard for a comprehensive, multi-authored work dealing with functional neurologic disorders (also described as psychogenic, dissociative or conversion disorders). Offers a comprehensive interdisciplinary approach for the care of patients with functional disorders seen in neurologic practice, leading to more efficient prevention, management, and treatment Provides a synthesis of research efforts incorporating clinical, brain imaging and neurophysiological studies Fills an existing gap between traditional neurology and traditional psychiatry Contents include coverage of history, epidemiology, clinical presentations, and therapy Edited work with chapters authored by leaders in the field, the broadest, most expert coverage available

Provides a broad overview of current rehabilitation approaches, emphasizing the need for interdisciplinary management and focussing on deliverable outcomes.

'This is one of those books that movement disorder specialists in all fields, including neurosurgeons, neurologists, neuropsychologists, basic scientists, and others will want to have on their shelves.' 'On balance I feel this book is a must on the reading list of groups involved in movement disorders surgery. We, in our group, have enjoyed it immensely.'

This case-based text provides treatment approaches to common and uncommon movement disorders. The first two parts of the book are devoted to the wide spectrum of motor and non-motor problems encountered in caring for people with Parkinson’s disease, as well as Parkinsonian syndromes. Next are parts with chapters addressing essential and other tremor disorders followed by management of the various dystonic syndromes and other hyperkinetic disorders including chorea, tics, and myoclonus. Other disorders covered are drug-induced movement disorders, psychogenic movement disorders, Wilson’s disease, hemifacial spasm and more. Authored by experts globally, this practical guide will help physicians, other healthcare professionals and trainees care for patients with a wide spectrum of movement disorder related problems.

This concise but comprehensive book will help interested readers in the health care professions to navigate their way through the jungle of movement disorders, including the potentially complex differential diagnosis and management. The different disorders are discussed in individual sections that explain how to examine the patient and recognize the disorder from its basic phenomenology, how to confirm a diagnosis, how to distinguish a particular disorder from related conditions, and how to treat each disorder effectively. The book makes liberal use of diagrams, algorithms, tables, summary boxes, and illustrations to facilitate solution of clinical problems at the bedside and to solidify previously learned clinical and therapeutic concepts. It will be of interest to a broad audience of health professionals, scientists, and medical students.