Iatrogenic Emergencies
Iatrogenic Emergencies OBJECTIVES To highlight common pitfalls in the management of Parkinson disease (PD), restless legs syndrome (RLS), dementia with Lewy bodies, and frontotemporal dementia, which can lead to acute…
Acute Cerebellar Infarction (Pica) with Early Hydrocephalus
Acute Cerebellar Infarction (Pica) with Early Hydrocephalus OBJECTIVES To highlight pitfalls in the diagnosis of acute cerebellar infarction. To review the clinical presentation of acute cerebellar infarction in the posterior…
Paraneoplastic Chorea
Paraneoplastic Chorea OBJECTIVES To recognize the presentation of paraneoplastic chorea. To outline the appropriate differential diagnosis and diagnostic workup for a rapidly progressive movement disorder. To illustrate the management strategies…
Leptomeningeal Malignancy (Lymphoma)
Leptomeningeal Malignancy (Lymphoma) OBJECTIVES To recognize the presentation and manifestations of leptomeningeal malignancy. To outline the appropriate differential diagnosis and diagnostic workup for a chronic progressive polyradiculopathy and mononeuritis multiplex….
Psychogenic Gait
Psychogenic Gait OBJECTIVES To recognize the most common presentation of psychogenic gait in order to avoid unnecessary investigations and coordinate appropriate management. To list the various recognized phenotypes of psychogenic…
Adult-Onset Dystonic Gait
Adult-Onset Dystonic Gait OBJECTIVES To recognize a typical case of adult-onset foot dystonia, which is typically secondary to lesions contralateral brain hemispheric lesions. To recognize the clinical features suggestive of…
Hemiparkinsonian Gait
Hemiparkinsonian Gait OBJECTIVES To recognize a typical case of hemiparkinsonism and distinguish it from the hemiparetic case reviewed in the prior case. To highlight the importance of reaching the correct…
Hemiplegic Gait/Spasticity
Hemiplegic Gait/Spasticity OBJECTIVES To illustrate common disabilities associated with spasticity. To analyze characteristic features of a spastic gait. To briefly summarize available management strategies for spasticity. VIGNETTE At the age…
Vascular Parkinsonism and Normal Pressure Hydrocephalus
Vascular Parkinsonism and Normal Pressure Hydrocephalus OBJECTIVES To illustrate a classical presentation of vascular parkinsonism (VaP) and a suspected presentation of VaP, whose response to fluid diversion and eventual neuropathology…
Lower-Body Parkinsonism (Gait Apraxia)
Lower-Body Parkinsonism (Gait Apraxia) OBJECTIVES To present a patient with a diagnostically challenging gait disorder. To briefly review disorders commonly associated with lower-body-predominant parkinsonism (vascular parkinsonism, normal pressure hydrocephalus, and…
