Case study 1

He had also noticed that his voice had become quieter. He reported that his walk had become gradually slower over the past two years. His sense of smell was poor and his wife reported that for...

Deep brain stimulation (DBS) is a recognised treatment option for patients with movement disorders, particularly Parkinson’s disease. There has been an exponential rise in the number of patients with a DBS device in situ in Ireland and therefore a corresponding need for extra safety considerations in the wider...

Current research has shown that the drug apomorphine is effective for the treatment of Parkinson’s disease, however there are advantages and disadvantages to its use. While apomorphine has a rapid onset of action and benefits patients in reducing motor fluctuations and the number of daily ‘off’ periods,...

Parkinson’s disease (PD) is a neurodegenerative disorder, a synucleinopathy, associated with the apoptosis of dopaminergic neurons of the substantia nigra, particularly the pars compacta, in the central nervous system (CNS). In Western Europe, the ageing population is leading to a rise in the incidence of the...

Case study 1

A 52-year-old man, who works as a carpenter, is referred by his GP for assessment of an intermittent, unilateral resting tremor, affecting the right hand

Examination of the man revealed a positive Myerson’s sign, as well as bradykinesia, with cogwheel rigidity, more prominent on the right. A...