Neurology
Movement Disorders
Neurology

Movement Disorders

Parkinson, essential tremor, physiologic tremor, ataxias.

Select any text to highlight it or make a flashcard.

◆Parkinson disease

  • •TRAPS: Tremor (resting, pill-rolling), Rigidity, Akinesia/bradykinesia, Postural instability, Shuffling gait
  • •Alpha-synuclein (Lewy body) inclusions
  • •First-line: carbidopa-levodopa
  • •Psychosis in PD → quetiapine (avoid worsening motor symptoms)
  • •PT for balance training; pallidotomy or DBS for refractory cases

◆Essential tremor

  • •Bilateral action tremor, improves with alcohol, no parkinsonian features
  • •First-line: propranolol; primidone if asthma
  • •DBS for severe refractory

◆Enhanced physiologic tremor

  • •Fine symmetric high-frequency tremor + clear trigger (caffeine, stress, sleep deprivation, medications)
  • •Remove triggers, reassure
Done reading?
Track your progress by marking this complete.
Next in Neurology