What's Shaking? Evaluation and Management of Post Stroke and Brain Injury Movement Disorders-What's Shaking? Evaluation and Management of Post Stroke and Brain Injury Movement Disorders

Video Transcription

Video Summary

In this video, Dr. Miriam Siegel provides an overview of movement disorders after acquired brain injury. She discusses the terminology and classification of movement disorders, highlighting the classification system developed by the World Health Organization and the International Parkinson's and Movement Disorder Society. She explores different types of movement disorders, including tremor, dystonia, athetosis, chorea, hemibolismus, myoclonus, hyporeflexia, and Parkinsonism. Dr. Siegel explains that these movement disorders can arise from various factors such as structural lesions, diffuse axonal injury, and aberrant neuroplastic phenomena. She specifically focuses on post-traumatic movement disorders, with tremor being the most common. She mentions post-traumatic hemi-dystonia and hemibolismus as well. Dr. Siegel discusses the challenges in determining the pathophysiology of delayed onset movement disorders. She showcases a video of a patient with post-traumatic tremor, and addresses treatment options for movement disorders, including pharmacological therapies, surgical interventions, and botulinum toxin injections. Overall, Dr. Siegel emphasizes the importance of using appropriate terminology and characterizing the phenomena to effectively evaluate and address functional deficits in patients with movement disorders after acquired brain injury.<br /><br />The video transcript highlights different types of movement disorders and their treatment options. Cases discussed include dystonic tremor, which can be treated with therapy, assistive devices, and deep brain stimulation; myoclonus, which can be managed with medications like clonazepam and botulinum toxin injections; and vascular Parkinsonism, which typically requires supportive therapy and management of underlying risk factors. Non-pharmacological treatments like deep brain stimulation, motor cortex stimulation, and transcranial magnetic stimulation are also mentioned. The video emphasizes the importance of considering functional implications and setting specific goals when treating movement disorders.

Keywords

movement disorders

acquired brain injury

classification

tremor

dystonia

athetosis

chorea

myoclonus

Parkinsonism

treatment options

functional deficits