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Current opinions and practices in post-stroke movement disorders: Survey of movement disorders society members
dc.creator | Rodriguez-Porcel, Federico | |
dc.creator | Sarva, Harini | |
dc.creator | Joutsa, Juho | |
dc.creator | Falup-Pecurariu, Cristian | |
dc.creator | Wagle Shukla, Aparna | |
dc.creator | Mehanna, Raja | |
dc.creator | Śmiłowska, Katarzyna | |
dc.creator | Lanza, Giuseppe | |
dc.creator | Filipović, Saša | |
dc.creator | Shalash, Ali | |
dc.creator | Ferris, Margaret | |
dc.creator | Jankovic, Joseph | |
dc.creator | Espay, Alberto J. | |
dc.creator | Pandey, Sanjay | |
dc.date.accessioned | 2024-02-19T10:25:32Z | |
dc.date.available | 2024-02-19T10:25:32Z | |
dc.date.issued | 2024 | |
dc.identifier.issn | 0022-510X | |
dc.identifier.uri | http://rimi.imi.bg.ac.rs/handle/123456789/1459 | |
dc.description.abstract | Background: Post-stroke movement disorders (PSMD) encompass a wide array of presentations, which vary in mode of onset, phenomenology, response to treatment, and natural history. There are no evidence-based guidelines on the diagnosis and treatment of PSMD. Objectives: To survey current opinions and practices on the diagnosis and treatment of PSMD. Methods: A survey was developed by the PSMD Study Group, commissioned by the International Parkinson's and Movement Disorders Society (MDS). The survey, distributed to all members, yielded a total of 529 responses, 395 (74.7%) of which came from clinicians with experience with PSMD. Results: Parkinsonism (68%), hemiballismus/hemichorea (61%), tremor (58%), and dystonia (54%) were by far the most commonly endorsed presentation of PSMD, although this varied by region. Basal ganglia stroke (76% of responders), symptoms contralateral to stroke (75%), and a temporal relationship (59%) were considered important factors for the diagnosis of PSMD. Oral medication use depended on the phenomenology of the PSMD. Almost 50% of respondents considered deep brain stimulation and ablative surgeries as options for treatment. The lack of guidelines for the diagnosis and treatment was considered the most important gap to address. Conclusions: Regionally varying opinions and practices on PSMD highlight gaps in (and mistranslation of) epidemiologic and therapeutic knowledge. Multicenter registries and prospective community-based studies are needed for the creation of evidence-based guidelines to inform the diagnosis and treatment of patients with PSMD. | |
dc.publisher | Elsevier | |
dc.rights | restrictedAccess | |
dc.source | Journal of the Neurological Sciences | |
dc.source | Journal of the Neurological Sciences | |
dc.subject | Movement disorders | |
dc.subject | Stroke | |
dc.subject | Cerebrovascular | |
dc.subject | Post-stroke movement disorders | |
dc.title | Current opinions and practices in post-stroke movement disorders: Survey of movement disorders society members | |
dc.type | article | en |
dc.rights.license | ARR | |
dc.citation.spage | 122925 | |
dc.citation.volume | 458 | |
dc.identifier.doi | 10.1016/j.jns.2024.122925 | |
dc.type.version | publishedVersion |