What are the four cardinal features of Parkinsonism?
Rest tremor, bradykinesia, rigidity and loss of postural reflexes are generally considered the cardinal signs of PD. The presence and specific presentation of these features are used to differentiate PD from related parkinsonian disorders.
When do you consider DBS?
DBS is more effective if you start early DBS therapy will no longer be an option if you wait until: Your symptoms no longer respond to medication. You develop medical conditions that prevent surgery such as cognitive impairment, gait and balance problems. You become severely disabled.
Does Medicare pay for DBS?
WILL DBS BE COVERED? Most public and private health insurance companies, including Medicare, cover approved uses of deep brain stimulation, including essential tremor treatment. If you’re concerned about therapy coverage, talk with your doctor’s office and insurance company.
How to differentiate Parkinson’s disease from essential tremor?
MAO-B inhibitor (selegiline) – DaT (dopamine transporter) scan helps to differentiate Parkinson’s disease from essential tremor.
How do you remember Parkinson’s disease?
Parkinson’s disease is a progressive disorder of the nervous system that, in the early stages, is characterized by mild signs that are often missed. These signs can be remembered by the mnemonic “SMART” You can see a list of our previous Medical Mnemonics here.
How can mnemonic devices be used in the management of DBS?
Use of this mnemonic device may allow the patient and family the time necessary to alter the perception of perceived benefit. This education can help to ensure that outcome meets or exceeds expectation, and as a result they become a more satisfied and easy-to-manage DBS patient.
What are the drugs used to treat Parkinsonism?
Parkinsonism: drugs Mnemonic. SALAD: Selegiline. Anticholinenergics (trihexyphenidyl, benzhexol, ophenadrine) L-Dopa + peripheral decarboxylase inhibitor (carbidopa, benserazide) Amantadine. Dopamine postsynaptic receptor agonists (bromocriptine, lisuride, pergolide, pramipexole) DR.Paul February 27, 2017.