Movement Disorders Clinical Practice最新文献

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Tremor is Commonly Responsive to Levodopa Along the Natural History of Parkinson's Disease. 震颤在帕金森病的自然病程中普遍对左旋多巴有反应。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-28 DOI: 10.1002/mdc3.70162
Tiago A Mestre, Glenn T Stebbins, Sheng Luo, Christopher G Goetz
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引用次数: 0
Myoclonus. 肌阵挛。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-27 DOI: 10.1002/mdc3.70199
Masashi Hamada
{"title":"Myoclonus.","authors":"Masashi Hamada","doi":"10.1002/mdc3.70199","DOIUrl":"https://doi.org/10.1002/mdc3.70199","url":null,"abstract":"","PeriodicalId":19029,"journal":{"name":"Movement Disorders Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sweet and Sour Spots of Focused Ultrasound. 聚焦超声的酸甜点。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-27 DOI: 10.1002/mdc3.70200
Sanjay Pandey
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引用次数: 0
Management of Anxiety in Parkinson's Disease. 帕金森病焦虑的管理。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-26 DOI: 10.1002/mdc3.70144
Alex J Berry, Harry Costello, Silvia Jesús, Gary Price, Ashwani Jha
{"title":"Management of Anxiety in Parkinson's Disease.","authors":"Alex J Berry, Harry Costello, Silvia Jesús, Gary Price, Ashwani Jha","doi":"10.1002/mdc3.70144","DOIUrl":"https://doi.org/10.1002/mdc3.70144","url":null,"abstract":"<p><strong>Background: </strong>Anxiety is a common, distressing, hard-to-diagnose and hard-to-treat symptom in Parkinson's disease. No formal guidelines exist to assist management.</p><p><strong>Objective: </strong>We provide a pragmatic guide to detecting and managing anxiety in Parkinson's disease.</p><p><strong>Methods: </strong>In this educational review, we describe the phenomenology, diagnostic challenges, hypothesized neurobiology, and the rationale for treatments for anxiety in Parkinson's disease. We review the major drug-classes and non-pharmacological treatment approaches in current use. We also present a meta-analysis of pharmacological treatments of anxiety derived from previously published systematic reviews of RCTs for depression in Parkinson's disease in which anxiety was a secondary outcome.</p><p><strong>Results: </strong>In our meta-analysis, anxiolytic medications showed a moderate overall anxiolytic effect compared to placebo (standardized mean difference: -0.45 [95% CI: -0.78, -0.12], p = 0.02). There were significant limitations with the studies included in this meta-analysis, with studies generally having small cohort sizes, and each specific pharmacotherapy was not studied in more than one randomized control trial. We also describe a pragmatic algorithm for individualized pharmacological management, based on our own experience of selecting treatments to optimize side-effect profile and treatment of comorbid symptoms.</p><p><strong>Conclusions: </strong>Detecting and treating anxiety likely benefits people with Parkinson's disease, though the current evidence-base for specific treatments or specific pharmacotherapy remains limited. Further work is needed to investigate the different evidence-based approaches for managing anxiety in Parkinson's disease.</p>","PeriodicalId":19029,"journal":{"name":"Movement Disorders Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Changing Face of Dystonia-Enhancing Diagnosis by Moving Beyond Traditional Clinical Phenotyping. 通过超越传统的临床表型,肌张力增强诊断的变化面貌。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-26 DOI: 10.1002/mdc3.70189
Niroshan Jeyakumar, Kishore R Kumar
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引用次数: 0
Ataxia.
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-26 DOI: 10.1002/mdc3.70190
Katsuki Eguchi, Hiroaki Yaguchi, Ichiro Yabe
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引用次数: 0
A Case of Vertical Diplopia after Thalamic Deep Brain Stimulation for Essential Tremor. 丘脑深部脑刺激治疗特发性震颤致垂直复视1例。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-25 DOI: 10.1002/mdc3.70191
Rena Far, Suresh Subramaniam, Camila Aquino, Fady Girgis
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引用次数: 0
A Pragmatic Approach to Sexual Health in Movement Disorders. 运动障碍患者性健康的实用方法。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-25 DOI: 10.1002/mdc3.70198
Justus Chun-Yu Chen, Renato P Munhoz, Anthony E Lang, Peer Briken, Christos Ganos
{"title":"A Pragmatic Approach to Sexual Health in Movement Disorders.","authors":"Justus Chun-Yu Chen, Renato P Munhoz, Anthony E Lang, Peer Briken, Christos Ganos","doi":"10.1002/mdc3.70198","DOIUrl":"https://doi.org/10.1002/mdc3.70198","url":null,"abstract":"<p><strong>Background: </strong>A satisfying sexual life is essential for maintaining good quality of life and healthy relationships for all individuals, including those with movement disorders and their partners. However, its significance is often overlooked in neurological clinics.</p><p><strong>Methods: </strong>We review the literature and draw from our own experience to offer a practical approach for assessing and managing sexual health issues in patients with movement disorders.</p><p><strong>Results: </strong>We begin by introducing fundamental concepts of sexual medicine, emphasizing models of sexual response that offer useful frameworks for diagnostic classification and management practices. We then address the most common sexual problems and disorders, including sexual dysfunction, sexual pain disorders, sexual compulsivity, and paraphilic behaviors, and their connections to different movement disorders. Next, we discuss assessment approaches that encompass biological, psychological, and social factors related to sexual health, including investigations for structural, vascular, or hormonal causes. Brief assessment questionnaires are also discussed. In addition to specific sexual therapeutic practices and supportive psychotherapy, we cover adjustments to pharmacological treatments related to movement disorders, as well as the use of mechanical devices. We also address the need for individualized management in specific cases, such as for patients undergoing deep brain stimulation surgery.</p><p><strong>Conclusion: </strong>Neurologists can play a key role in addressing sexual health concerns, considering the impact of both the disorder and its treatments. A comprehensive approach includes assessing biological, psychological, and sociocultural factors, with interventions like sexual therapy, supportive psychotherapy, pharmacological treatments and medical devices. Further research is needed to establish evidence-based treatments in this population.</p>","PeriodicalId":19029,"journal":{"name":"Movement Disorders Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurophysiological Testing to Diagnose Stiff-Person Spectrum Disorder. 诊断僵硬人格谱系障碍的神经生理测试。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-25 DOI: 10.1002/mdc3.70194
Karlo J Lizarraga, Petra Pavelekova, Robert Chen, Mark Hallett
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引用次数: 0
A Systematic Approach to Evaluating and Addressing Disparities in Deep Brain Stimulation. 评估和解决脑深部刺激差异的系统方法。
IF 2.6 4区 医学
Movement Disorders Clinical Practice Pub Date : 2025-06-24 DOI: 10.1002/mdc3.70193
Anthony Bishay, Natasha Hughes, Sarah K Bick
{"title":"A Systematic Approach to Evaluating and Addressing Disparities in Deep Brain Stimulation.","authors":"Anthony Bishay, Natasha Hughes, Sarah K Bick","doi":"10.1002/mdc3.70193","DOIUrl":"https://doi.org/10.1002/mdc3.70193","url":null,"abstract":"","PeriodicalId":19029,"journal":{"name":"Movement Disorders Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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