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Movement Disorders
Unforgettable Cases and Lessons from the Bedside
Hubert H. Fernandez, MD, Marcelo Merello, MD
Published 07/2012
344 pp Paperback
ISBN13 9781936287284
Price: $65.00
eISBN 9781617050589 |
Amazon Kindle | Google eBook
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Description
Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. Movement Disorders collects over 90 of the most memorable and challenging movement disorder cases from the world's leading authorities in this specialty. Compelling vignettes covering the entire phenomenology of movement disorders are presented succinctly but descriptively to walk the reader through the diagnostic process-much like being in the examining room with a master clinician. Each case follows a set format consisting of four sections: The Case; The Approach; The Lesson; Reference and Suggested Readings. Imaging findings and other illustrations amplify the discussion where pertinent.
Movement Disorders Features:
- Collection of over 90 compelling cases covering standard movement disorders phenomenology
- Cases are vividly described, well-illustrated, and authoritatively written with a section on "lessons learned" at the end of each vignette
- Captures the "human element" in medicine-first-person narratives simulate the experience of sitting at the elbow of a master clinician interviewing and examining the patient
- Designed to help hone diagnostic skills and inform treatment decisions for the full spectrum of movement disorders
- Vignette titles serve as a reference index for clinicians to easily search similar cases they may have encountered (i.e. An Elderly Man with Dystonia; Chorea in a Young Athlete)
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Reviews "A delightful, enjoyable book, which - unlike many textbooks - is a delight to read. The editors and contributors are to be warmly congratulated in presenting the essence of bedside teaching in such an attractive manner."-Movement Disorder Society
5 Stars
"An excellent addition to any medical, university, or hospital library where movement disorders are practiced or taught, the lessons learned from the cases are invaluable"-Doody's Reviews, October 2012 - return to top -
Contents Contributors
Preface
Acknowledgments
I. Parkinson's Disease
1. Levodopa's Dark Side: The Remarkable Story of Dr B
2. Peanut Butter and Lottery: Two Impulse Control Disorders in an Elderly Parkinson Patient
3. The Man Who Was Addicted to Levodopa: An Unforgettable Case Illustrating Dopamine Dysregulation Syndrome
4. The Most Horrific Tactile Hallucination Described by a 78-Year-Old Colombian Man With Parkinson's Disease
5. Can a Research Subject Be Too Enthusiastic An Important Lesson on Parkinson Trials From a 65-Year-Old Banker
6. Parkinson's Disease Never Presents With Freezing-Except When It Does!
7. From Hero to Villain: Walking the Tightrope in Impulse Control Disorders
8. Our Unforgettable Case of Malignant Motor Fluctuations in a Parkinson Patient
9. Gaining Movement but Losing Speech: The Unexpected Side Effects of DBS Surgery
10. Strength (and Fun) in Numbers: Lessons From an "Extended Family" of Parkinson Patients and Their Spouses
11. Help! My Spouse Is Out of Control! Three Cases of Dopamine Dysregulation in Parkinson's Disease
12. De Novo Parkinsonism Versus Depression: What to Treat First
13. How a Wife's Insomnia Led to Her Husband's Parkinson Diagnosis: The First Warning From REM Sleep Behavior Disorder
II. Other Parkinsonian Disorders
14. Severe Hypophonia and Parkinsonism With Hepatitis C and Elevated
Mn: Lessons From a Drug Abuser
15. Ironing Out the Details: Two Sisters With Progressive Parkinsonism and Ataxia
16. Acute Onset of Akinetic Mutism With Rigidity in an Elderly Psychiatric Patient: A Reminder on Catatonia
17. Acute Onset Parkinsonism in a Middle-Aged Alcoholic: A "Great Case"
18. A 38-Year-Old Brazilian Woman Presenting With Reversible Parkinsonism
Associated With Neurocysticercosis
19. An Apparent Case of Early Onset Parkinsonism: A Lesson on Huntington's Disease From a Bus Driver in Italy
20. A Vasculopathic Man With "Vascular Parkinsonism" Without Vasculopathy: My Humbling Case of Normal Pressure Hydrocephalus
21. Too Young for Parkinson's Disease Levodopa-Responsive Parkinsonism
in an 8-Year-Old Boy
22. The Misleading Phenotypes of PD and Parkinson-Plus Syndromes: Lessons I Learned From a 59-Year-Old Woman
23. Atypical Parkinsonism With a Twist: My Memorable Case of an Indian Woman With Levodopa-Responsive Parkinsonism With Motor Fluctuations
24. A Patient With Rapidly Progressive Dementia and Supranuclear Gaze Palsy: A Memorable Lesson on Prion Disorders
25. A Lesson on Following One's Instincts: A Case of a Paraneoplastic Disorder Posing as PSP
26. A Sudden, Static, Supranuclear Syndrome After Surgical Repair of an Aortic Aneurysm in a Young Man From Thailand
27. Asymmetric Parkinsonism With Autonomic Dysfunction and Abnormal Sphincter EMG in a 63-Year-Old English Woman: Why Not PSP
28. Tremor Dominant Parkinsonism: Lesion or Deep Brain Stimulation
29. The Miracle of Disappearance of Dyskinesias: The Case of an Elderly Italian Woman Who Benefited From a Stroke
30. Unforgettable Lessons From a Forgetful Museum Attendant With a Supranuclear Gaze Palsy
31. Reversible Unilateral Parkinsonism Associated With Bipolar Affective Disorder in a
59-Year-Old Spanish Woman
32. Sudden-Onset Mutism and Parkinsonism in a Psychiatric Patient: An Unusual Case of
"Central Pontine Myelinolysis"
33. Acute Confusion and Rapidly Progressive Dementia in Diffuse Lewy Body Disease
34. Stereotypic Movements in a Nurse Referred for the Evaluation of Parkinson's Disease
35. Familial Albers-Schonberg's Disease (Osteopetrosis) Complicated by Dystonia and
Dopa-Resistant Parkinsonism
III. Tremors
36. Not "X"-actly a Simple Tremor
37. The Tremulous Driver Who Could Not Find His Way Home
38. The Shaky Professor: A Tale of Tremors
39. Early-Onset Hand Tremor and Later Adult Progression Without Speech Involvement: An Unusual DYT6 Presentation
40. Untwisting a Double-Twist: Severe Tremors in a Factory Worker With a Melanoma History
41. Disabling Postural and Resting Tremor: What Should One Aim to Treat
42. Pseudopsychogenic Tremors and Parkinsonism: Two Presentations of Multiple
Sclerosis That Almost Fooled Us
IV. Chorea
43. The Clumsy Piano Teacher Unable to Play the Organ in Church
44. Chorea in a Man With Peripheral Neuropathy and Hepatomegaly:
The Diagnosis Can Make a Difference!
45. When the HD Gene Test Is "Negative": Our Memorable Case of a Nursing Assistant Fired From Her Job for Making Mistakes
46. Late-Onset Sydenham's Chorea in a Middle-Aged Brazilian Woman
47. A Case of Calcium-Induced Marital Stress
48. Discrepancy in CAG Repeat Lengths in a Case of Clinically Manifest Huntington's Disease: The Pyschological Ordeal of My 24-Year-Old Patient
49. Evolving Movement Disorder in a 13-Year-Old Girl From the Philippines
Presenting Initially With Joint Pains
50. "Defiant and Rebellious" Behavior in a Canadian Teenager: Sarah's Difficult Journey
51. The Challenging Case of Progressive Cognitive Decline in a Student: History in the Making
52. Multiple Involuntary Movements in a Young Male Patient With Nephrocalcinosis: A "Gold Medal" Story
V. Dystonia
53. Seemingly "Progressive Postanoxic Dystonia" Finally Diagnosed 26 Years After Symptom Onset
54. Dystonia, Ataxia, Dementia, and a Family History of "Huntington Disease"
55. Friedreich's Ataxia Presenting With Childhood Onset Progressive Dystonia and Spasticity
56. Dysarthria, Dystonia, and Cerebellar Ataxia: The Tale of Four Sisters
57. Early-Onset Generalized Dystonia With Short Stature and Skeletal Dysplasia
58. The Highs and Lows of Deep Brain Stimulation in Dystonia: The Story of a Canadian Boy
59. The Opera Singer Who Cannot Hit the High Notes: Is It Always Spasmodic Dysphonia
60. An 18-Year-Old Woman Who Attacked a Policeman With a Knife: Our Memorable Lesson on Treatable Causes of Dystonia
61. Rapidly Progressive Dystonia in a 52-Year-Old Thai Woman With SCA Type 2
62. A Young Girl With Presumed Cerebral Palsy and Her Grandfather With Depression, Dystonia, and Daytime Sleepiness: As Always, Family Is the Clue
63. I Cannot Eat, Even Though I Want To: An Illustrative Case From Mr A on the Consequences of Dystonia
64. Painful Muscle Spasms, Twisting, and Loose Stools: What a Combination in an Adolescent Girl!
65. Why Did a Competitive Rower Lose His Skill An Unusual Case of Task-Specific Action Dystonia
66. "Tremors" and Gait Difficulties in an 18-Year-Old Hispanic Teenager: An Illustrative Case on the Power of Levodopa
67. A Tendon Transfer That Could Have Been Avoided: My Memorable Case of a College Student With Dopa-Responsive Dystonia
68. The Serendipitous Discovery of the Beneficial Effect of Zolpidem on Dystonia
69. An Unusual Cause of Cervical Dystonia: Porencephalic Cyst, Putaminal, Pallidal, and Cerebellar Atrophy, Aqueductal Stenosis, and Obstructive Hydrocephalus
VI. Ataxia
70. The ABC of Ataxia Should Also Include the E
71. Speech and Gait Problems in a Patient Being Treated for Schizophrenia: A Lesson on Psychiatric Comorbidity From an Afro-Caribbean Man
72. How Wiggling Movements in a 13-Year-Old Girl Helped Diagnose a Longstanding Ataxia
73. Acquired Cerebellar Ataxia Associated With Glutamic Acid Decarboxylase in a
52-Year-Old Brazilian Woman
74. Ataxia With Oculomotor Apraxia Type 2 in a 58-Year-Old Computer Programmer
Without Oculomotor Apraxia
75. A Patient With a Progressive Ataxia and Brain Iron Accumulation 252
Elisabeth Wolf and Werner Poewe
76. Evaluating Ataxia: The Eyes Have It-Or Do They
77. A Zebra Can Change Its Stripes: A Case of Inherited Ataxia
78. Abrupt Onset "On Stage Ballerina-Like" Stair Descent in an Art Student
VII. Tics and Stereotypies
79.Hereditary Syndrome With Multiple Tics: A Lesson on the Phenotypic
Variability of Huntington's Disease
80. Affective Changes and Involuntary Movements in a 29-Year-Old Man: Do Not Forget to Review the Medication List!
81. Hereditary Stereotypies From a Family in Canada
82.Tics From a Church Choir: A Unique Case Illustrating the Challenge of
Distinguishing Organic From Psychogenic Tics
VIII. Myoclonus and Startle Syndromes
83. The Challenging Case of a Man With Paroxysmal Irregular Jerking of the Right Arm
84. A Stiff and Jerky Person: How Useful Is a DAT Scan in the Differential Diagnosis
85. The Torture of Tortuosity: Lessons From a 45-Year-Old Woman With Myoclonus, Dystonia, Chorea, and Ataxia
86. On the Priority of Clinical Diagnosis: A Complex Case With Myoclonus
IX. Psychogenic Movement Disorder Presentations
87. Walking Out of the Psychogenic "Bizarre-Gait" Pigeonhole: A Lesson From the
Psychiatry Ward
88. My Unforgettable Parkinson Patient With Psychogenic Tremors 292
Kelvin L. Chou
89. Bizarre "Exorcist-Like" Movements and Behavioral Change in an Adolescent Filipino:
A Mystery Case
90. Intermittent Tunnel Vision in a Patient With Multiple Drug Abuse History
91. "Psychogenic Tremor" in a 32-Year-Old Factory Worker: The Eyes Do Not Lie!
About the Editors
Index- return to top -
About the Editors
Hubert H. Fernandez, MDHubert H. Fernandez, MD, Associate Professor of Neurology
and Co-Director, Movement Disorders Center, University of
Florida College of Medicine, Gainesville, FLMarcelo Merello, MDMarcello Merello, MD, PhD, Director, Neuroscience Department and Head, Movement
Disorders Section, Institute for Neurological Research Raul
Carrea, Buenos Aires, Argentina
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