- Preface
- Contributors
- 1 Hormonal Contraception in a Woman with Headache
- 2 A Young Woman with Jerking Movements
- 3 Headache
- 4 Seeing Spots
- 5 Seizures Occurring Once a Month
- 6 Multiple Ovarian Cysts in a Woman with Epilepsy
- 7 Newlywed with Headache, Morning Sickness, and Subjective Right-side Weakness
- 8 Routine Long-Term Epilepsy Follow-up
- 9 A Young Woman with Infertility
- 10 A Woman with Weight Gain and Fatigue
- 11 A 27-Year-Old Woman with Epilepsy Planning for Pregnancy
- 12 What Imaging Test Do I Order?
- 13 A Lady with a Headache in the First Trimester
- 14 A Lady with a Headache in the Second Trimester
- 15 Ringing in the Ears and Pain in the Head
- 16 A Pregnant Woman with Aphasia and Right-Sided Weakness
- 17 Postpartum Visual Disturbance
- 18 Postpartum Thunderclap Headache
- 19 Postpartum Left-Sided Numbness and Right-Sided Shaking
- 20 Acute Headache in Pregnancy
- 21 The Worst Headache of Her Life
- 22 A Woman in Labor with Hypotension and Dyspnea After Epidural Placement
- 23 Weakness in the Hand of a Woman During Pregnancy
- 24 A Woman with Leg Weakness after Delivery
- 25 A Young Woman with Double Vision and Fatigue
- 26 Multiple Sclerosis
- 27 A Mother Who Could Not See Her Baby
- 28 “I Am Pregnant; Why Can’t I Sleep?”
- 29 Convulsion in a Pregnant Woman
- 30 Cognitive Concerns
- 31 “Will I Have a Stroke?”
- 32 Involuntary Movements
- 33 Memory Concerns in Middle Age
- 34 Pain in the Back
- Index
(p. 159) Involuntary Movements
- Chapter:
- (p. 159) Involuntary Movements
- Author(s):
Chizoba Umeh
- DOI:
- 10.1093/med/9780190609917.003.0032
Choreiform involuntary movements, “dyskinesia,” are a manifestation of chronic levodopa treatment in Parkinson’s disease. Levodopa-induced chorea presents as brief, irregular, non-rhythmic, flowing, involuntary movements. Risk factors for levodopa- induced dyskinesia include younger age of onset of Parkinson’s disease, greater disease severity, higher levodopa dose, longer duration of levodopa treatment, and female gender. Patients can have varying frequency and severity of dyskinesia. Treatment options for patients with disabling dyskinesia include adjusting the levodopa dose and daily dosing schedule, amantadine, intraduodenal levodopa, and deep brain stimulation.
In this chapter, a case of a 69-year-old woman with longstanding Parkinson’s disease on chronic levodopa treatment is discussed, including the disease course, differential diagnosis, workup, and treatment outcome.
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- Preface
- Contributors
- 1 Hormonal Contraception in a Woman with Headache
- 2 A Young Woman with Jerking Movements
- 3 Headache
- 4 Seeing Spots
- 5 Seizures Occurring Once a Month
- 6 Multiple Ovarian Cysts in a Woman with Epilepsy
- 7 Newlywed with Headache, Morning Sickness, and Subjective Right-side Weakness
- 8 Routine Long-Term Epilepsy Follow-up
- 9 A Young Woman with Infertility
- 10 A Woman with Weight Gain and Fatigue
- 11 A 27-Year-Old Woman with Epilepsy Planning for Pregnancy
- 12 What Imaging Test Do I Order?
- 13 A Lady with a Headache in the First Trimester
- 14 A Lady with a Headache in the Second Trimester
- 15 Ringing in the Ears and Pain in the Head
- 16 A Pregnant Woman with Aphasia and Right-Sided Weakness
- 17 Postpartum Visual Disturbance
- 18 Postpartum Thunderclap Headache
- 19 Postpartum Left-Sided Numbness and Right-Sided Shaking
- 20 Acute Headache in Pregnancy
- 21 The Worst Headache of Her Life
- 22 A Woman in Labor with Hypotension and Dyspnea After Epidural Placement
- 23 Weakness in the Hand of a Woman During Pregnancy
- 24 A Woman with Leg Weakness after Delivery
- 25 A Young Woman with Double Vision and Fatigue
- 26 Multiple Sclerosis
- 27 A Mother Who Could Not See Her Baby
- 28 “I Am Pregnant; Why Can’t I Sleep?”
- 29 Convulsion in a Pregnant Woman
- 30 Cognitive Concerns
- 31 “Will I Have a Stroke?”
- 32 Involuntary Movements
- 33 Memory Concerns in Middle Age
- 34 Pain in the Back
- Index
