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Intro
Objectives
Case of a person with hand shaking
Parkinsonism
Tremor
Dystonia
Tics
Myoclonus
MOVEMENT PHENOMENOLOGY: Summary
Classification of tremor and tremor exam
Examining rigidity
Examining bradykinesia
Our patient's examination
PATHOLOGICAL DIFFERENTIAL OF TREMOR
Parkinsonian tremor versus essential tremor
DaT Scan: Differentiating parkinson's from essential tremor
EARLY TREATMENT OF PARKINSON'S DISEASE: Levodopa, dopamine agonists, MAO-B inhibitors
Back to the case: Progression of disease
Progressive motor symptoms
DIFFERENTIAL DIAGNOSIS OF PARKINSONISM
Atypical parkinsonisms
TREATING ADVANCING PARKINSON'S DISEASE
Dyskinesias
Gait freezing
Deep brain stimulation