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.

Table of Contents

• Contributors
• Preface
• Acknowledgments
• I Getting Started
• 1 The Body Language of Movement Disorders
• Prevalence of movement disorders
• Approach to the patient with a movement disorder
• Hypokinetic disorders
• Hyperkinetic disorders
• Useful clues in identifying movement disorders
• References
• II Neurological Approach to Movement Disorders
• 2 Tremors
• Pathophysiology
• Classification (Figure 2.3)
• Clinical disorders (Table 2.1)
• Evaluation of the patient with tremor
• References
• 3 Parkinsonism
• Tremors
• Rigidity
• Bradykinesia/akinesia
• Postural instability
• Gait dysfunction
• Examination of the patient with shuffling
• Differential diagnosis of patients presenting with parkinsonism
• Diagnostic workup of parkinsonian syndromes
• References
• 4 Parkinson’s Disease
• Overview of parkinson’s disease
• Pathology
• Neuroprotection trials
• Diagnosis
• Treatment
• References
• 5 Dystonia
• Phenomenology of dystonic movements
• Classification of dystonia
• Treatment
• References
• 6 Chorea
• Definitions
• Chorea
• Ballism
• Athetosis
• Akathisia and restless legs syndrome
• References
• 7 Myoclonus
• Description
• Phenomenology and differential diagnosis
• Clinical approach
• Classification
• Specific etiologies of myoclonus
• Diagnostic workup
• Treatment
• References
• 8 Ataxia
• Pathophysiology
• Etiology of ataxia
• Clinical examination of the patient with ataxia
• Diagnosis of ataxic syndromes
• Management
• References
• 9 Tics
• Definition
• Characteristics of tics
• Epidemiology, pathogenesis, and pathophysiology
• Evaluation
• Treatment (Figure 9.1)
• References
• 10 Sleep-Related Movement Disorders
• Movement disorders that occur only during sleep/falling asleep and disappear during wakefulness
• Movement disorders occurring during wakefulness but frequently persisting during sleep
• References
• III Psychiatric Approach to Movement Disorders
• 11 The Psychiatric Assessment
• Introduction
• The psychiatric interview
• Mental status examination
• Diagnosis
• Treatment
• References
• 12 Psychiatric Issues in Parkinson’s Disease
• Introduction
• Examination of the patient
• Depression and anxiety
• Apathy
• Cognitive impairment
• Psychosis
• Impulse control disorders
• References
• 13 Psychiatric Issues in Huntington’s disease
• Introduction
• Genetic testing
• Cognitive dysfunction
• Depression and apathy
• Anxiety and perseveration
• Mania, irritability, and impulsivity
• Psychosis
• References
• 14 Psychiatric Issues in Tourette Syndrome
• Introduction
• Tics and behavior
• Psychiatric comorbidities
• References
• 15 Approach to Conversion Disorder
• Approach to the patient with conversion disorder
• Epidemiology of conversion disorder
• Historical perspective
• Neurobiopsychosocial model
• Diagnosis
• Etiology of conversion disorder
• Treatment
• References
• IV Surgical Approach to Movement Disorders
• 16 Surgical Approach to Movement Disorders
• History of surgery for movement disorders
• Surgery for specific movement disorders
• Surgical treatment options and symptom management
• Results
• Complications
• Safety issues
• MRI
• References
• V Nonpharmacologic Approach to Movement Disorders
• 17 Physical and Occupational Therapy
• The role of exercise in the management of parkinson’s disease
• Physical therapy and occupational therapy in a multidisciplinary approach to management
• Physical and occupational therapy in parkinsonism and other movement disorders
• The falling patient
• Conclusion
• Selected websites
• References
• 18 Speech and Swallowing Therapy
• Speech and swallowing abnormalities associated with movement disorders
• Evaluation of speech
• Evaluation of swallowing
• Speech and swallowing in parkinson’s disease
• Speech and swallowing disorders in multiple system atrophy
• Speech and swallowing in progressive supranuclear palsy
• Speech and swallowing in corticobasoganglionic degeneration
• Speech and swallowing in syndromes of progressive ataxia
• Speech and swallowing in huntington’s disease
• Speech and swallowing in wilson’s disease
• Speech and swallowing disorders in dystonia
• Speech and swallowing disorders in tardive dyskinesia
• References
• Appendix A
• Appendix B
• 19 Nutritional Considerations
• The malnourished patient: unintended weight loss in movement disorders
• Nutrition in parkinson’s 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
• Conclusion
• References