Neurology Exam Prep Podcast Episode 2 - Movement Disorders
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Jan 11, 2020 Dr. Sara Schaefer discusses movement disorders such as Parkinson's disease, drug-induced movement disorders, tremor types, dystonia, and more. She covers the differences between rigidity and spasticity, pharmacological and surgical treatment options for Parkinson's disease, pathology in movement disorders, Huntington's disease, rubral tremor characteristics, and treatment strategies for various movement disorders.
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Key Signs of Parkinsonism
- Parkinsonism is defined by bradykinesia, rigidity, and rest tremor, often asymmetric at onset in idiopathic Parkinson's disease.
- Rigidity differs from spasticity by being velocity-independent and is a key extrapyramidal sign.
Evaluate Parkinson's Non-Motor Symptoms
- Assess non-motor symptoms in Parkinson's including autonomic issues, sleep disturbances, and psychiatric features.
- These features significantly impact patient quality of life and aid in diagnosis beyond motor symptoms.
Parkinson's Drug Categories Explained
- Categorize Parkinson's drugs by mechanism: dopamine replacement, agonists, COMT inhibitors, MAOIs, and others.
- Tailor treatment to patient with close monitoring for side effects like nausea, hallucinations, and impulse control.