Www.wemove.org Essential Tremor Slide Library Version 1.0 - All Contents Copyright © WE MOVE 2001 Essential Tremor: Diagnosis/Differential Diagnosis Part.

Slides:

Advertisements

Similar presentations

Tremor Tracker Computer-aided tremor analysis, using optical recognition system.

Advertisements

MOTOR NEURON DISEASE The motor neuron diseases (or motor neuron diseases) (MND) are a group of neurological disorders that selectively affect motor neurons.

Diagnostic Work-up. Electroencephalography (EEG) The only diagnostic test for absence seizures Ambulatory EEG monitoring over 24 hours may be useful to.

Loghman hospital – farhad mansouri. IS THE GRAY MATTER INVOLVED? level of conciousness content of conciousness.

Electrodiagnosis in the management and treatment of cervical and lumbar spine disorders Jonathan S. Rutchik, MD, MPH NEUROLOGY, ENVIRONMENTAL AND OCCUPATIONAL.

Leslie Cloud, MD Department of Neurology Division of Movement Disorders Emory University School of Medicine.

SPEECH BY JOSHUA BOWER (PEER SUPPORT 2014). What hemisphere of the brain is involved in language? Left (for the majority)

Parkinson’s Disease (PD)

Lee Silverman Voice Treatment (LSVT)

MYOCLONUS PRESENTED BY MATTHEW EBRIGHT PGY-2. MYOCLONUS - OUTLINE Definition Pathophysiology Classification Etiologies Specific Examples Evaluation Treatment.

Intermediate CAG repeats: Analysis of the Cooperative Huntington’s Observational Research Trial (COHORT) Ainhi D. Ha, MBBS 1, Christopher A. Beck, PhD.

MDS-PAS School for Young Neurologists Video Dinner February 21, 2015 Maria Eliza T. Freitas, MD Clinical Fellow In Movement Disorder University of Toronto.

MDS-PAS Video Presentation Chantale Branson, M.D. Boston University Medical Center.

Approach to dysphagia. Definition of Dysphagia The word dysphagia is derived from the Greek phagia (to eat) and dys (with difficulty). It specifically.

Unsteadiness Year 2 Michaelmas Term The case.. A 56 year old man presented to his GP with a persistent right-sided headache in the occipital-parietal.

Clinical Case Study, CCS Prof. Vladimir J. Šimunović.

NEUROLOGICAL DISORDERS. Dementia  A degenerative syndrome characterized by deficits in memory, language, and mood.  The most common form: Alzheimer’s.

Parkinson ’ s disease. Function Anatomy of Parkinson ’ s Disease.

Movement Disorders General Overview. BASAL GANGLIA CIRCUITRY.

A 62-year-old man with progressive action tremor and a 74-year-old man with progressive ataxia Teaching NeuroImages Neurology Resident and Fellow Section.

Treatment of Essential Tremor with Stereotactic Radiosurgery

Neurological Manifestations of Wilson’s Disease Aleksandar Videnovic, MD, MSc Assistant Professor of Neurology Feinberg School of Medicine Northwestern.

RLS Slide Library Version All Contents Copyright © WE MOVE 2001 Restless Legs Syndrome: Classification, Diagnosis and Approaches to.

OMT EVALUATION Dr. Asif Islam PT,SMC,UOS.. Goals of the OMT evaluation  The OMT evaluation is directed toward three goals: 1) Physical diagnosis  To.

A 68 year old woman with a troublesome chin tremor Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

Dr. Jones University of Arkansas.  Disease  Pathology  Etiology.

Parkinson’s Plus By: Glen Estrosos.

10 Second Case Studies Round 2: Degenerative Neurological Conditions.

Teaching NeuroImages An 83-year-old woman with phonatory breaks and left hand rest tremor Neurology Resident and Fellow Section © 2013 American Academy.

Mostly Parkinson’s disease but also few other movement disorders due to diseases of the basal ganglia.

Richard Leckey Oct 2,2015.  Faculty: Dr. Richard Leckey  Relationships with commercial interests:  Biogen  Merck  Serono  Novartis  Allergen CFPC.

Out-patient Management in Neurology

Essential Tremor Slide Library Version All Contents Copyright © WE MOVE 2001 Essential Tremor and Parkinson’s Disease Part 5 of 7.

Electromyography Tatiana Steinwarz.

Muscular System NEUROLOGICALLY-RELATED TERMS DR. PETERSON.

Teaching NeuroImages A 54-year-old man with progressive muscle weakness, hand tremor, tongue and perioral fasciculation Neurology Resident and Fellow Section.

Huntington's Disease By: Walter Gerring and Seth Little.

APPROACH TO NEUROLOGIC DIAGNOSIS

Amyotrophic lateral sclerosis

Huntington’s Disease BY: SAM DAVIS, SABRINA TRAN, MYA LUNA, MYLES BLACKWELL AND EAMONN DUENSING.

Types of Dementia Dr Bernie Coope Associate Medical Director/Honorary Senior Lecturer, Worcester University Association for Dementia Studies.

“HEALTH IS THE BEST” In the name of God. WHAT IS IT? Parkinson's disease (PD) is a chronic and progressive movement disorder, meaning that symptoms.

Dementia F.Etessam. MD. Dementia A progressive impairment of cognitive functions occurring in clear consciousness.

Polyuria. Definition It’s the production of abnormal large urine output ( >2-3 Liters/day ). It must be differentiated from “urinary frequency” which.

Introduction to Dementia

Dr.Fatima Alkhaledy M.B.Ch.B,F.I.C.M.S/C.M.

CNS Disorders and The Dementias

Bill Lyons, M.D. UNMC Geriatrics Asst. Professor

Causes | Symptoms | Treatments

Parkinson’s Disease Celsey and Chylee.

Case Report: Paroxysmal Neck Dystonia

Amyotrophic Lateral Sclerosis

The Approach to Tremor (with case examples) Praveen Dayalu MD Associate Professor Department of Neurology University of Michigan.

Essential Tremor: Classification, Diagnosis, and Management

Acquired hepatocerebral degeneration

Atypical Parkinsonian Syndromes

اصول نگارش پرونده های پزشکی

Essential tremor. Essential tremor. (A) The Archimedes spiral drawing shows a unidirectional tremor axis in the 8–2 o’clock direction, suggesting essential.

Chapter 93 Dementias and Related Disorders

Figure Brain MRI of the patient throughout the disease course(A) Brain MRI at the time of cerebral toxoplasmosis diagnosis (a) and after 1 month of toxoplasmosis.

Diagnosis of Patient Six

Essential Tremor: Red Flags/Epidemiology

What Do You Know About “Doctoring”?

Essential tremor. Essential tremor. (A) The Archimedes spiral drawing shows a unidirectional tremor axis in the 8–2 o’clock direction, suggesting essential.

Dystonic tremor. Dystonic tremor. (A) Oscillations occur in all sections of the spirals, denoting a multidirectional axis. The amplitude and frequency.

18F-dopa positron emission tomography (PET) in a normal subject, a patient with idiopathic Parkinson's disease (PD), and a patient with multiple system.

Dystonic tremor with writer’s cramp.

Defining diagnostic brain MRI markers in early MSA

Impact of approaches for clinical and radiological monitoring on predicting of short-term and long-term disability outcomes in multiple sclerosis Brian.

Atrophied Brain T2 Lesion Volume at MRI Is Associated with Disability Progression and Conversion to Secondary Progressive Multiple Sclerosis The rate.

Presentation transcript:

Essential Tremor Slide Library Version All Contents Copyright © WE MOVE 2001 Essential Tremor: Diagnosis/Differential Diagnosis Part 4 of 7

Diagnosis of ET Clinical history/family history Physical examination (including QOL/disability, etc.) Absence of abnormal laboratory findings (normal TFT, serum ceruloplasm, etc.) Current medications Effect of ETOH Archimedes spiral; handwriting test; water test; peg board; CT scan (when warranted)

Methods of Measuring Tremor Physiologic techniques (e.g., accelerometry, EMG, digitizing tablets, or gyroscopic techniques) Subjective clinical measures (e.g., rating scales, spiral drawings, or handwriting) Objective functional performance tests (e.g., water spilled from cup, nine-hole pegboard test, maze tests) Impact of tremor on patients’ lives (e.g., disability, handicap, quality of life, or burden of illness)

Functional Disability Associated with ET May Affect... Handwriting Ability to drink liquids from a cup or glass Precise, fine manipulations of the hands Capability to feed oneself Ability to dress Speech (i.e., dysarthria as in voice tremor) Social interactions leading to embarrassment

Accelerometry for ET Autospectra obtained by accelerometry from a patient with ET (frequency plotted against root- mean-square [rms] acceleration [g x ])

Clinical Characteristics of ET Lou JS, Jankovic J. Essential tremor: clinical correlates in 350 patients. Neurology. 1991;41(Pt 1):

Differential Diagnosis Parkinson’s disease (PD) Pallidonigral degeneration Multiple system atrophy (MSA) Olivopontocerebellar atrophy (OPCA) Striatonigral degeneration Progressive pallidal atrophy Huntington’s disease (HD) Benign hereditary chorea

Differential Diagnosis (cont.) Fahr’s disease Paroxysmal dystonic choreoathetosis (PDC) Ataxia-telangiectasia (AT) Familial intention tremor and lipofuscinosis Ramsay-Hunt syndrome (progressive myoclonic ataxia) Dystonia musculorum deformans DOPA-responsive dystonia

Differential Diagnosis (cont.) Cervical dystonia (spasmodic torticollis) Meige syndrome Task-specific tremors (writer’s or voice tremor) Space-occupying lesions of the brain Various metabolic diseases (e.g., hepatic encephalopathy, etc.) Peripheral neuropathies (e.g., Charcot-Marie-Tooth, Guillain-Barré, etc.)