EUROMEDICAHanover6-7 Juni 2008 |
Advanced methods of diagnosis,
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European Academy of Natural Sciences, HanoverEuropean Scientific Society, HanoverRussian Academy of Natural Sciences, Moscow |
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| D. Dressler | NEW TREATMENT OPTIONS FOR PATIENTS WITH MOVEMENT DISORDERS AND SPASTICITY |
| Hannover Medical School, Hannover, Germany |
Movement Disorders are amongst the most common neurological disorders. In an aging society their prevalence is increasing. Movement disorders include Parkinsonian syndromes, tremor, dystonia, myoclonus, chorea and ticks. Spastic syndromes are also usually considered movement disorders.
The diagnosis of movement disorders relies almost exclusively upon the experience of the physician. Diagnostic tools include magnetic resonance imaging (MRI), brain parenchyma sonography, single photon emission tomography (SPECT), photon emission tomography (PET), video monitoring, electromyography and genetic testing.
The treatment of movement disorders changed considerably over the past few years. Botulinum toxin therapy revolutionized the treatment of hyperkinetic movement disorders, such as dystonia and spasticity. Deep brain stimulation proofed extremely helpful for patients with tremor, Parkinsonian syndromes and dystonia. Apomorphine injections, apomorphine pumps as well as continuous duodenal levodopa-infusions are now highly specialised treatment options for patients with advanced Parkinsonian syndromes. Continuous intrathecal baclofen applications can be extremely helpful for patients with spastic syndromes. Conventional oral drug therapy of Parkinsonian syndromes has recently exploded and now includes numerous very effective substances that can improve the patient’s condition. Specialised physiotherapy is also an integral part of all modern movement disorders treatments.
Best therapeutic results, however, can only be achieved when a professional team of experts work together in a setting where all modern treatment options are available and where a highly individualized treatment concept for the patients can specially be developed.
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