Movement disorders

Movement disorders -Neurological syndromes in which there is either an excess of movement or paucity of voluntary and automatic movements unrelated to weakness or spasticity ( Epidemiology and Classification of Movement Disorders Njideka U . Okubadejo Professor and Consultant Neurologist College of Medicine , University of Lagos & Lagos University Teaching Hospital , Nigeria )

Common neurological disorders Generalisation of prevalence is difficult- broad spectrum of conditions Most common hypokinetic disorder is Parkinsonism / Parkinsons diseasePD prevalence 1 % in people aged 65-85 yrs↑ es to 4.3 % above 85 Essential tremor is the most common tremor4 % in people aged over 40 yrs↑ es to 14 % in people over 65 yrs Tics in school going children & adolescents can be up to 21 %

History and examination form the basis of diagnosis and management - establish phenomenology Usually synonymous with basal ganglia disease and extrapyramidal features but pathology may also arise from other structures ( e.g myoclonus ) or manifestation of a more widesprad neurological dis Presentation can be complex and diagnosis challenging even for experienced neurologists In early stages the diagnostic value of complex tests (as below , often expensive and time consuming ) is limitedeg CSF...