| Upper limb tremor. | |
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MedLine Citation:
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PMID: 22509875 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Tremor is a common clinical problem in middle-aged and older patients, and Parkinson disease (PD) is one of the commonest causes. Careful history-taking and physical examination is usually sufficient for diagnosis of PD; extensive investigation is generally not required. Treatment of PD should be individualised, taking into account the patient's age, lifestyle, severity of motor symptoms, level of disability, comorbidities, expectations of treatment and PD subtype (eg, akinetic rigid or tremor dominant). In PD, optimal medical therapy often involves a combination of dopaminergic medications, aiming for doses th@provide adequate symptom relief without adverse effects such as dyskinesias and impulse-control disorders. Continuous dopaminergic stimulation and deep brain stimulation should be considered for patients with PD whose motor symptoms cannot be adequately controlled with oral medication, especially those aged less than 70 years. |
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Authors:
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Thomas E Kimber; Philip D Thompson |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Medical journal of Australia Volume: 196 ISSN: 1326-5377 ISO Abbreviation: Med. J. Aust. Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: Australia |
Other Details:
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Languages: eng Pagination: 447-51 Citation Subset: IM |
Affiliation:
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Royal Adelaide Hospital, Adelaide, SA, Australia. thomas.kimber@health.sa.gov.au. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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