Nutritional Considerations

Mar 11, 2017 by in NEUROSURGERY Comments Off on Nutritional Considerations

19 NUTRITIONAL CONSIDERATIONS Good nutrition is essential to maintain the well-being of individuals with neurological disease. There are several reasons why nutrition is important in movement disorders:       Nutrition may impact…

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Parkinsonism

Mar 11, 2017 by in NEUROSURGERY Comments Off on Parkinsonism

3 PARKINSONISM The cardinal tetrad of parkinsonism includes tremor, rigidity, akinesia/bradykinesia, and postural instability.1 The most common cause of parkinsonism is Parkinson’s disease (PD), which is discussed in Chapters 2…

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Surgical Approach to Movement Disorders

Mar 11, 2017 by in NEUROSURGERY Comments Off on Surgical Approach to Movement Disorders

16 SURGICAL APPROACH TO MOVEMENT DISORDERS HISTORY OF SURGERY FOR MOVEMENT DISORDERS       In the 1950s, Cooper first described ligation of the anterior choroidal artery for the treatment of Parkinson’s disease…

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Dystonia

Mar 11, 2017 by in NEUROSURGERY Comments Off on Dystonia

5 DYSTONIA “Dystonia is a neurologic syndrome characterized by involuntary, sustained, patterned, and often repetitive muscle contractions of opposing muscles causing twisting movements or abnormal postures. Partly because of its…

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Sleep-Related Movement Disorders

Mar 11, 2017 by in NEUROSURGERY Comments Off on Sleep-Related Movement Disorders

10 SLEEP-RELATED MOVEMENT DISORDERS Although most movement disorders typically disappear during sleep, some persist, and some even occur almost exclusively while the patient is asleep or falling asleep. Movement disorders…

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Chorea

Mar 11, 2017 by in NEUROSURGERY Comments Off on Chorea

6 CHOREA DEFINITIONS       Phenomenology: chorea, athetosis, and ballism generally represent a continuum of involuntary, hyperkinetic movement disorders.       Chorea consists of involuntary, continuous, abrupt, rapid, brief, unsustained, irregular movements that flow…

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Psychiatric Issues in Parkinson’s Disease

Mar 11, 2017 by in NEUROSURGERY Comments Off on Psychiatric Issues in Parkinson’s Disease

12 PSYCHIATRIC ISSUES IN PARKINSON’S DISEASE INTRODUCTION       Psychiatric complications associated with Parkinson’s disease (PD) are common. They represent a special challenge to the practitioner because many of the psychiatric syndromes…

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Physical and Occupational Therapy

Mar 11, 2017 by in NEUROSURGERY Comments Off on Physical and Occupational Therapy

17 PHYSICAL AND OCCUPATIONAL THERAPY Patients with movement disorders can develop motor, cognitive, and behavioral impairments that can lead to a loss of functional ability and independence in activities of…

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Tics

Mar 11, 2017 by in NEUROSURGERY Comments Off on Tics

9 TICS DEFINITION A tic is an involuntary movement or vocalization that is usually of sudden onset, brief, repetitive, and stereotyped, but nonrhythmic. Tics frequently imitate normal behavior, often occurring…

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Myoclonus

Mar 11, 2017 by in NEUROSURGERY Comments Off on Myoclonus

7 MYOCLONUS DESCRIPTION       Sudden, brief, shocklike, involuntary movements result from brief contractions (or lapse in contractions) of a muscle or group of muscles.1       When the movement results from a contraction…

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