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Movement Disorders in Childhood, Expert Consult
Authors:  Harvey S. Singer, MD, Jonathan Mink, MD, PhD, Donald L. Gilbert, MD, MS and Joseph Jankovic, MD
Pages:  288  Hard Cover
ISBN 13:
Saunders/ Elsevier   2011
List Price:  $99.95

Related Titles-Neuroscience   Find New and Used Here
Related Titles- Pediatrics


MedicalScienceBooks.com Medical Book Review:

     Movement Disorders in Childhood is an important addition to the neurological literature.  The project development team and group of authors recognized the need for a pediatric point of view in discussing the clinical aspects of the common and many not so common neurological conditions involving disordered movement.  While the introductory material regarding the role of the basal ganglia and cerebellar signal integration in the control of movement does not differ significantly from adult neurology texts covering the same topics, the book does offer the reader insight into decidedly pediatric issues.

     A major challenge in the successful diagnosis and management of movement disorders in children is the interplay between normal developmental and pathogenic processes occurring during early life.  The text does an excellent job of emphasizing these critical periods and highlighting the keys to differential diagnosis.  Due to the genetic basis of many movement disorders, including those with rare abnormalities of metabolism found in young children, the reader gets an introduction to variants of genes often associated with adult disease that have early onset manifestations.

     Another unique aspect of pediatric neurology that is addressed in this text and quite effectively conveyed is the great sensitivity that is required in managing even common movement disorders.  The nature of these disorders with repetitive or wild movements leaves the child and parent quite anxious for a diagnosis.  The clinician must also navigate the cloudy waters of second and sometimes third hand descriptions of disordered movement when dealing with children too young for direct communication.  Importantly, elements of dealing with these issues can be found in each chapter of the book. However, chapter 4, dedicated solely to the nuances involved in pediatric evaluation of movement disorders, definitively separates this text from the more common descriptions in the adult neurological literature.  The authors utilize their collective experiences in outlining a typical office visit with notations on how to maximize clinical data at each sequence of the limited time spent with the patient and their family.

     Although clearly required reading for those wishing to subspecialize in child neurology, this book is also appropriate for general pediatricians and may actually be of greater importance in that realm.  The brevity of chapters and clinical pearls found within its pages will no doubt greatly facilitate decisions for referral to specialist services.      

Ratings (1-4 , 4 being the highest):

Organization of information:    3

Usefulness of book:     3

Suitable for intended audience:    3

Authorís objectives met:      4

Significant number of illustrations:     2

Quality of illustrations:    3


Experts in the field, Drs. Singer, Mink, Gilbert, and Jankovic, fill the gap in the market by offering the only comprehensive text devoted solely to the diagnoses and treatment of all pediatric movement disorders. Discussions of common and rare disorders such as movements that occur in sleep and psychogenic movement disorders and the latest advances and developments in medications keep you apprised of today's best practices. Each chapter is accessible, illustrated, stylistically uniform, and carefully referenced, making it easy to access the information you need. This brand-new reference is the ideal resource for the seasoned specialist as well as the non-expert clinician. Best of all, Expert Consult functionality gives you convenient access to the full text online - fully searchable, a downloadable image library, and enhanced visual guidance with narrated, diagnostic videos at expertconsult.com.

Key Features:

. Includes online access to the complete contents of the book, fully searchable, including all of the book's illustrations, 58 narrated videos of actual patients and their disorders, and abstracts to Medline at expertconsult.com

. Discusses neurobiology, classification, diagnostic evaluation, and treatment, making this a one-stop-shop for all you need to know to diagnose and treat any child with any movement disorder.

. Offers expert guidance and detailed coverage on today's hot topics, including movements that occur in sleep, drug-induced movement disorders in children, and psychogenic movement disorders to help you better treat whatever you encounter.

. Addresses developmental, paroxysmal, hyperkinetic and hypokinetic, and other movement disorders, offering complete, comprehensive coverage.

. Presents chapters based on clinical symptomology and disease with specific therapy guidance at the end of each chapter.

. Uses illustrations and a logical organization throughout, making reference a snap.

Table of Contents:

Section 1  Overview
1. Basal Ganglia Anatomy, Biochemistry, and Physiology
2. Cerebellar Anatomy, Biochemistry, and Physiology
3. Classification of Movement Disorders
4. Diagnostic Evaluation of Children with Movement Disorders

Section 2  Developmental Movement Disorders
5. Transient and Developmental Movement Disorders in Children

Section 3  Paroxysmal Movement Disorders
6. Tics and Tourette Syndrome
7. Motor Stereotypies
8. Paroxysmal Dyskinesias

Section 4  Hyperkinetic and Hypokinetic Movement Disorders
9. Chorea, Athetosis, and Ballism
10. Dystonia
11. Myoclonus
12. Tremor
13. Ataxia
14. Parkinsonism

Section 5  Selected Secondary Movement Disorders
15. Inherited Metabolic Disorders Associated with Extrapyramidal Symptoms
16. Movements That Occur in Sleep
17. Cerebral Palsy
18. Drug-Induced Movement Disorders in Children
19. Psychogenic Movement Disorders

Appendix A: Drug Appendix
Appendix B: Search Strategy for Genetic Movement Disorders
Appendix C: Video Atlas


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