Movement Disorder Emergencies


Book Description

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.




Parkinson's Disease, Second Edition


Book Description

In recent years, considerable advances have been made in our knowledge and understanding of Parkinson's disease (PD). In particular, there has been an explosion of information regarding genetic contributions to the etiology of PD and an increased awareness of the importance of the non-motor features of the disease. Theories regarding the pathogenesis and pathophysiology of PD have also been refined, and new treatment modalities and advances implemented. Reflecting these changes, this second edition features new chapters devoted to genetic aspects of PD, non-motor features of the disease, and aspects of the pathophysiology, pathogenesis, and treatment of PD.




Parkinson's Disease in the Older Patient


Book Description

"Parkinson's Disease in the Older Patient, Second Edition" has been fully revised, updated and expanded to include new treatments and entirely new chapters. This authoritative text is written by recognised national specialists in the field and provides accessible, easy-to-read information. The practical and versatile approach comprehensively covers all aspects of treatment, and although it focuses on the older patient, it is also highly relevant for younger patient groups with an emphasis on multidisciplinary assessment and management. Detailed information on the aetiology and pathogenesis of the condition, drug and surgical treatments, sleep disturbances, quality of life and careers is now included, along with the more prevalent older patient issues such as neuropsychiatric disturbances, speech and swallowing problems, balance and falls, and autonomic disturbances. The updates also include new advice on the management and services in primary care, linked to the recent NICE guidelines.With official endorsement from The Parkinson's Disease Academy of the British Geriatrics Society, this new edition is highly recommended for general practitioners, geriatricians, neurologists and psychiatrists. Physiotherapists, occupational therapists, speech therapists, dieticians, and psychologists will also find it invaluable. It is suitable for general and specialist nurses, and will be of great use to researchers with an interest in Parkinson's disease.




Navigating Life with Parkinson's Disease


Book Description

Navigating Life with Parkinson's Disease is a guide for anyone affected by Parkinson's, providing useful information to those with Parkinson's and their caregivers, family, and friends. This extensively revised second edition contains up-to-date information on recent research and the latest adaptive equipment available to those living with Parkinson's disease. Discussing available treatments and providing practical advice, this book emphasizes lifestyle adjustments that provide a better quality of life for patients and their loved ones. The material is organized so that chapters can be read sequentially or individually, and the index and glossary facilitate the use of the book as a quick reference. Q&A sections, thoughts from people living with Parkinson's and Ask the Experts boxes address often-overlooked topics in physician-directed disease management, such as how to talk to family and friends about one's life with Parkinson's. Promoting a patient-centered approach, Navigating Life with Parkinson Disease empowers patients and their families to manage their health care.




Navigating Life with Parkinson's Disease


Book Description

Navigating Life with Parkinson's Disease is a guide for anyone affected by Parkinson's—patients, family members, friends, and caregivers. Containing the most up-to-date information on the disease, one of the most common nervous system diseases, it also discusses the available treatments and provides practical advice on how to manage the disease in the long term. Emphasizing life-style adjustments that will provide a better quality of life and moderate the burden for patients and their loved ones, Navigating Life with Parkinson's Disease empowers patients and their families with the necessary information to take charge of their health care.




A Practical Guide to Parkinson’s Disease


Book Description

Knowledge at-a-glance on all aspects of Parkinson's and related syndromes The only resource of its kind, this is a concise yet comprehensive overview of Parkinson's disease and related syndromes written for PAs, medical students, case managers, and nurse practitioners in primary care and neurology settings. In an easy-to-read approach, it encompasses diagnosis, treatment, and ongoing management of the Parkinsonian patient along with abundant patient education and caregiver resources. The guide also addresses the unique considerations, treatment requirements, challenges, and prognoses for each of the Parkinson syndromes. The resource presents a brief overview of the anatomy and physiology of Parkinson's disease including the different types of Parkinsonian syndromes, assessment, and state-of-the-art diagnostic tools. It addresses measurement tools and disease progression for both motor and non-motor symptoms. Treatment options include the most current FDA-approved treatments with expert clinical commentary. Illustrations and diagrammatic representations of concepts, along with call-out boxes presenting key author insight, enhance the “information-at-a-glance” focus of the guide. Resources for patient and family offer relief from the burden of care-giving. Key Features: Offers comprehensive yet pithy coverage of Parkinson's disease in bulleted, quick-reference format for busy practitioners Covers the unique considerations of Parkinson-plus syndromes Includes illustrations, diagrams, and tables to quickly reinforce concepts Provides call-out boxes with key author insights Presents valuable resources for patient and family




Diagnostics and Rehabilitation of Parkinson's Disease


Book Description

Diagnostics and Rehabilitation of Parkinson's Disease presents the most current information pertaining to news-making topics relating to this disease, including etiology, early biomarkers for the diagnostics, novel methods to evaluate symptoms, research, multidisciplinary rehabilitation, new applications of brain imaging and invasive methods to the study of Parkinson's disease. Researchers have only recently begun to focus on the non-motor symptoms of Parkinson's disease, which are poorly recognized and inadequately treated by clinicians. The non-motor symptoms of Parkinson's disease have a significant impact on patient quality of life and mortality and include cognitive impairments, autonomic, gastrointestinal, and sensory symptoms. In-depth discussion of the use of imaging tools to study disease mechanisms is also provided, with emphasis on the abnormal network organization in parkinsonism. Deep brain stimulation management is a paradigm-shifting therapy for Parkinson's disease, essential tremor, and dystonia. In the recent years, new approaches of early diagnostics, training programmes and treatments have vastly improved the lives of people with Parkinson's disease, substantially reducing symptoms and significantly delaying disability. Written by leading scientists on movement and neurological disorders, this comprehensive book should appeal to a multidisciplinary audience and help people cope with medical, emotional, and practical challenges.




Non-Motor Symptoms of Parkinson's Disease


Book Description

Patients with Parkinson's disease are known to suffer from motor symptoms of the disease, but they also experience non-motor symptoms that have a significant impact on patient quality of life and mortality. Edited by members of the UK Parkinson's Disease Non-Motor Group, this book is the most comprehensive text to date in this area.




The Effects of Medical Conditions on Driving Performance: a Literature Review and Synthesis


Book Description

One factor that distinguishes older drivers from their younger and middle-aged counterparts is a higher prevalence of medical conditions, and the medications used to treat them. Often, the medical conditions that are more prevalent among older people lead to impairments in visual, cognitive, or psychomotor functions needed to drive safely. Similarly, while some medications restore function and improve mobility for those who would otherwise be unable to drive, an array of potentially driver impairing (PDI) prescriptions and over-the-counter medications have been associated with a statistically significant increase in crash risk.The current understanding of how medical conditions can affect driving is based on the opinions of medical (including rehabilitation) professionals or traffic safety experts, or has been derived from simulation research. Other studies have compared the driving records of drivers whose licenses were restricted as a result of reported medical conditions to those of matched controls with the same conditions who had full driving privilege. However, there is a dearth of empirical data about the relationships between medical conditions common among older adults and either performance or safety outcomes of drivers under realistic driving situations. Further, few studies have explored how people with such conditions may limit their driving exposure.