Movement Disorder Emergencies: Diagnosis and Treatment (Current Clinical Neurology)

Prominent neurologists and movement disorders experts from around the world logically and systematically review the major movement disorder emergencies, instructing the reader on how optimally to recognize and manage these problems. The authors comprehensively cover a broad range of disorders, including acute dystonic reactions, neuroleptic malignant syndrome, startle syndromes, and tic emergencies, and stress the importance of certain obvious diagnoses such as Wilson's disease, dopa-responsive dystonia, and Whipple's disease, in which delayed diagnosis in less emergent situations can lead to slowly evolving and often irreversible neurologic damage with tragic consequences. Patient vignettes at the beginning of each chapter focus the reader's attention and highlight the urgency of the problem. Since astute clinical diagnosis of many movement disorders is still largely dependent on visual pattern recognition in the clinic, an accompanying CD-ROM illustrates virtually all of the movement disorders described in the text. Movement Disorder Emergencies: Diagnosis and Treatment provides a fresh and unique approach to what is already a high-profile subspecialty area in clinical neurology. The disorders covered in this volume are standard fare in the field but emphasize the urgencies and emergencies that can occur. One of the very attractive features of the field of movement disorders is that diagnosis is often based on unique visible and sometimes audible phenomenological symptoms and signs. Therefore, in this era of highly sophisticated laboratory and radiological diagnostic tools, the diagnosis of many movement disorders is still largely made in the clinic where pattern recognition is key. Crucial to astute clinical diagnosis is broad clinical experience. In short, you have to have seen one to recognize one! Patients with movement disorders nearly always present as outpatients but, as aptly recognized by Drs. Frucht and Fahn, this may include acute manifestations leading to emergency presentations, often in an emergency room setting, where they are very likely to be unrecognized and therefore poorly managed. The authors define an “emergency” movement disorder as one in which failure to promptly diagnose and treat may result in significant morbidity or mortality. However, they also stress the importance of certain “can't miss” diagnoses such as Wilson's disease, dopa-responsive dystonia, and Whipple's disease in which delayed diagnosis in less emergent situations can lead to slowly evolving and often irreversible neurological damage with tragic consequences. A brief introduction to movement disorders / Steven J. Frucht and Stanley Fahn Acute parkinsonism / Hubert H. Fernandez and Joseph H. Friedman Parkinsonism-hyperpyrexia syndrome in Parkinson's disease / Stewart A. Factor and Anthony Santiago Neuroleptic malignant syndrome / Stanley N. Caroff ... [et al.] Malignant catatonia / Stephan C. Mann ... [et al.] Abductor paresis in Shy-Drager disease / Eiji Isozaki Movement disorder emergencies of the upper aerodigestive tract / Boris Bentsianov ... [et al.] Dystonic storm / Melissa J. Nirenberg and Blair Ford Pseudodystonic emergencies / Beom S. Jeon and Jong-Min Kim Tardive and neuroleptic-induced emergencies / Paul E. Greene and Steven J. Frucht Hemiballism-hemichorea / Ronald B. Postuma and Anthony E. Lang Sydenham's chorea, PANDAS, and other post-streptococcal neurologic disorders / Roser Pons Acute spinal rigidity / P.D. Thompson Tic emergencies / Vanessa K. Hinson and Christopher G. Goetz Malignant phonic tics / Carolyn Kwak and Joseph Jankovic Serotonin syndrome / Mark Forrest Gordon and Adena Leder Risks and dangers from hyperekplexia and other startle disorders / Frederick Andermann and Eva Andermann Wilson's disease / George J. Brewer Dopa-responsive dystonia / Yoshiaki Furukawa, Mark Guttman, and Stephen J. Kish Whipple's disease / John Lynch and Tim Lynch. Cover......Page 1 Movement Disorder Emergencies Diagnosis and Treatment......Page 2 ISBN 9781588293053......Page 3 Front Matter......Page 4 Copyright......Page 5 Series Editor’s Introduction......Page 6 Preface......Page 8 Contents......Page 10 Contributors......Page 12 Companion CD......Page 15 01 A Brief Introduction to Movement Disorders......Page 16 02 Acute Parkinsonism......Page 24 03 Parkinsonism - Hyperpyrexia Syndrome in Parkinson’s Disease......Page 44 04 Neuroleptic Malignant Syndrome......Page 56 05 Malignant Catatonia......Page 68 06 Abductor Paresis in Shy-Drager Disease......Page 84 07 Movement Disorder Emergencies of the Upper Aerodigestive Tract......Page 94 08 Dystonic Storm......Page 116 09 Pseudodystonic Emergencies......Page 126 10 Tardive and Neuroleptic-Induced Emergencies......Page 132 11 Hemiballism - Hemichorea......Page 138 12 Sydenham’s Chorea, PANDAS, and Other Poststreptococcal Neurological Disorders.pdf......Page 150 13 Acute Spinal Rigidity......Page 162 14 Tic Emergencies......Page 172 15 Malignant Phonic Tics......Page 182 16 Serotonin Syndrome......Page 190 17 Risks and Dangers From Hyperekplexia and Other Startle Disorders......Page 202 18 Wilson’s Disease......Page 210 19 Dopa-Responsive Dystonia......Page 224 20 Whipple’s Disease......Page 246 Index......Page 254 "In Movement Disorder Emergencies: Diagnosis and Treatment, prominent neurologists and movement disorders experts from around the world logically and systematically review the major movement disorder emergencies, instructing the reader on how optimally to recognize and manage these problems. The chapters are practical in emphasizing the keys to diagnosis and treatment, but do not skimp on the underlying science, thereby providing in one reference source what is critical to know. Patient vignettes at the beginning of each chapter focus the reader's attention and highlight the urgency of the problem. Because astute clinical diagnosis of many movement disorders is still largely dependent on visual pattern recognition in the clinic, an invaluable accompanying CD-ROM illustrates virtually all of the movement disorders described in the text."--Jacket Recent advances in pharmacologic and surgical treatments for patients with movement disorders have attracted many neurologists to this field. This volume provides a framework for clinicians to diagnose and treat patients with common and uncommon movement disorder emergencies. Aimed at the practicing neurologist, the chapters are heavily oriented to case-based presentations and therapeutic guidelines. In addition, this volume is greatly enhanced with the inclusion of a CD-ROM/DVD containing brief video clips of examples of patients with movement disorder emergencies making this package indispen Accompanying CD-ROM ... "illustrat[es] virtually all of the movement disroders described in the book."--Page 4 of cover