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Published on: January 12, 2024
[Movement Disorders: What Are You Doing? What Can We Do?]
Markus F Oertel1,2, Christian R Baumann2,3, Lennart H Stieglitz1,2
1Klinik für Neurochirurgie, Universitätsspital Zürich, Universität Zürich, Zürich.
Movement disorders like Parkinson's and essential tremor have many causes and treatments. Advanced therapies, including deep brain stimulation and focused ultrasound, offer new options and should be considered earlier.
Area of Science:
- Neurology
- Movement Disorders
Background:
- Movement disturbances are frequent and diverse.
- Systemic diseases like Parkinson's syndromes and essential tremor are common causes.
Purpose of the Study:
- To outline current and emerging treatment strategies for movement disorders.
- To emphasize earlier consideration of advanced therapies.
Main Methods:
- Review of conservative, predominantly drug-based strategies (oral dopamine precursors/agonists).
- Discussion of pharmacological and non-pharmacological escalation strategies.
- Inclusion of advanced therapies: botulinum toxin A, drug pumps (apomorphine, levodopa/carbidopa), deep brain stimulation, focused ultrasound.
Main Results:
- A range of treatment options exist, from oral medications to highly specialized interventions.
- Advanced therapies are available in specialized centers.
Conclusions:
- Movement disorders necessitate a spectrum of therapeutic approaches.
- Novel and established advanced treatments should be considered more proactively in patient management.
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