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Clerkship

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Neurology Student Education Director
Maike Blaya, M.D.
131 S. Robertson St.
Suite 1340, Room 1369
Office: 504-988-3888
Fax: 504-988-9197
Email: mblaya1@tulane.edu

Program Coordinator
Zenobia Colón
131 S. Robertson St.
Suite 1340, Room 1345
Office: 504-988-3888
Fax: 504-988-9197
Email: zcolon@tulane.edu

 

Neurology Clerkship
Neurology > Programs > Parkinson's Disease

Parkinson's Disease Case Studies

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A 65 year-old male comes with gradually progressive stiffness, difficulty walking and going down stairs. On examination: expressionless face, staring gaze with limitation of gaze in all directions and bradykinesia.

Above symptoms are due to:

  1. Oculomotor palsy.
  2. Pyramidal tract lesion.
  3. Degeneration of extrapyramidal system.
  4. Midbrain lesion.

Most likely diagnosis is:

  1. Stroke
  2. Parkinson's Disease
  3. Progressive Supranuclear Palsy
  4. Multisystems degeneration

Mr. C.G. with a long-standing history of Parkinson's Disease on Sinemet 10-200 every 4 hours, Bromocriptine 2.5mg BID, Artane 2mg daily complains of uncontrollable involuntary movement of legs and arms.

  1. Which drug is causing this symptom?
  2. Name one side effect of each of the above medications.
  3. Name 2 new categories of drugs used to treat Parkinson's Disease. 

A 55 year-old male with hypertension and diabetes came in with a sudden onset of uncontrollable flinging movement of his left arm and leg.

  1. What is your diagnosis?
  2. Where is this lesion?
  3. Parkinson's tremor is:
  • 4-6 Hz.
  • Kinetic.
  • Seen only the hands.
  • Present during sleep.

    4. Name 2 familial movement disorders.

 

 

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