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Movement Disorder: Medical Perspective

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Principles and Practice of Stereotactic Radiosurgery

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Abstract

Movement disorders encompasses a wide range of neurologic diseases and syndromes that can be characterized by whether or not the motor manifestations are primarily hypokinetic or hyperkinetic. The hypokinetic disorders include such common syndromes as parkinsonism including Parkinson disease, multiple system atrophy (MSA), progressive supranuclear palsy (PSP), and various other syndromes that clinically manifest bradykinesia, muscle rigidity, and gait impairment. The hyperkinetic disorders characterize a wide range of syndromes and diseases including Huntington disease, dystonia, Tourette syndrome, essential tremor, myoclonus, and tardive dyskinesia. Each of the hyperkinetic syndromes clinically manifests either as tremor, chorea, tics, myoclonus, or dystonia. Clinical descriptions of these disorders can be found in a wide variety of references [1], [2]. This chapter will focus on the advantages and disadvantages of radiosurgery versus medical treatment of movement disorders. Radiosurgery has been used most extensively to treat Parkinson disease and essential tremor. The chapter will define the clinical syndromes of Parkinson disease and essential tremor, discuss the medical therapy that is available, and finally discuss the advantages and disadvantages of radiosurgery in these two disorders.

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Author information

Authors and Affiliations

  1. Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA

    Sangjin Oh MD (Fellow) & William J. Weiner MD (Professor and Chairman)

  2. Department of Neurology, University of Maryland Medical Center, Baltimore, MD, USA

    William J. Weiner MD (Professor and Chairman)

Authors
  1. Sangjin Oh MD
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  2. William J. Weiner MD
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Boston University School of Medicine, Boston, MA, USA

    Lawrence S. Chin MD (Professor and Chairman) (Professor and Chairman)

  2. Department of Radiation Oncology, University of Maryland Medical School, Baltimore, MD, USA

    William F. Regine MD (Professor and Chairman) (Professor and Chairman)

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© 2008 Springer Science+Business Media, LLC

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Oh, S., Weiner, W.J. (2008). Movement Disorder: Medical Perspective. In: Chin, L.S., Regine, W.F. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71070-9_57

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  • DOI: https://doi.org/10.1007/978-0-387-71070-9_57

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-71069-3

  • Online ISBN: 978-0-387-71070-9

  • eBook Packages: MedicineMedicine (R0)

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