Movement Disorders

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 worldis 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 processomuch 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 ilessons learnedi at the end of each vignette Captures the ihuman elementi in medicineofirst-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)

Contributors Preface Acknowledgments I. Parkinsonís Disease 1. Levodopaís 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 Parkinsonís Disease 5. Can a Research Subject Be Too Enthusiastic An Important Lesson on Parkinson Trials From a 65-Year-Old Banker 6. Parkinsonís Disease Never Presents With FreezingóExcept When It Does! 7. From Hero to Villain: Walking the Tightrope in Impulse Control Disorders8. 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 ìExtended Familyî of Parkinson Patients and Their Spouses 11. Help! My Spouse Is Out of Control! Three Cases of Dopamine Dysregulation in Parkinsonís Disease 12. De Novo Parkinsonism Versus Depression: What to Treat First 13. How a Wifeís Insomnia Led to Her Husbandís 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 ìGreat Caseî 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 Huntingtonís Disease From a Bus Driver in Italy 20. A Vasculopathic Man With ìVascular Parkinsonismî Without Vasculopathy: My Humbling Case of Normal Pressure Hydrocephalus 21. Too Young for Parkinsonís 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 Oneís 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 Stroke30. 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 ìCentral Pontine Myelinolysisî 33. Acute Confusion and Rapidly Progressive Dementia in Diffuse Lewy Body Disease 34. Stereotypic Movements in a Nurse Referred for the Evaluation of Parkinsonís Disease 35. Familial Albers-Schonbergís Disease (Osteopetrosis) Complicated by Dystonia and Dopa-Resistant Parkinsonism III. Tremors 36. Not ìXî-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 ìNegativeî: Our Memorable Case of a Nursing Assistant Fired From Her Job for Making Mistakes 46. Late-Onset Sydenhamís 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 Huntingtonís 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. ìDefiant and Rebelliousî Behavior in a Canadian Teenager: Sarahís 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 ìGold Medalî Story V. Dystonia 53. Seemingly ìProgressive Postanoxic Dystoniaî Finally Diagnosed 26 Years After Symptom Onset 54. Dystonia, Ataxia, Dementia, and a Family History of ìHuntington Diseaseî 55. Friedreichís 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. ìTremorsî 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 Dystonia68. 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. Ataxia70. 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 252Elisabeth Wolf and Werner Poewe 76. Evaluating Ataxia: The Eyes Have ItóOr Do They 77. A Zebra Can Change Its Stripes: A Case of Inherited Ataxia 78. Abrupt Onset ìOn Stage Ballerina-Likeî Stair Descent in an Art Student VII. Tics and Stereotypies 79.Hereditary Syndrome With Multiple Tics: A Lesson on the Phenotypic Variability of Huntingtonís 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 ìBizarre-Gaitî Pigeonhole: A Lesson From the Psychiatry Ward 88. My Unforgettable Parkinson Patient With Psychogenic Tremors 292Kelvin L. Chou 89. Bizarre ìExorcist-Likeî Movements and Behavioral Change in an Adolescent Filipino: A Mystery Case 90. Intermittent Tunnel Vision in a Patient With Multiple Drug Abuse History 91. ìPsychogenic Tremorî in a 32-Year-Old Factory Worker: The Eyes Do Not Lie! About the EditorsIndex