Everyone dreams, but are these dreams our own? Who controls our thoughts when we're sleeping? Ginn, is a young college student who has been having wildly disturbing nightmares featuring a man she has never met. When she finds a flyer with his picture and the question, "Have you dreamed this man?" she submits to an interview that begins to unravel her perceptions of reality.
Everyone dreams, but are these dreams our own? Who controls our thoughts when we're sleeping? Ginn, is a young college student who has been having wildly disturbing nightmares featuring a man she has never met. When she finds a flyer with his picture and the question, "Have you dreamed this man?" she submits to an interview that begins to unravel her perceptions of reality.
The Bard meets "House" in this illumination of the medical mysteries surrounding 10 of the English language's most heralded writers, including John Milton, Jonathan Swift, and Jack London.
Tremor represents one of the most common movement disorders worldwide. It affects both sexes and may occur at any age. In most cases, tremor is disabling and causes social difficulties, resulting in poorer quality of life. Tremor is now recognized as a public health issue given the aging of the population. Tremor is a complex phenomenon that has attracted the attention of scientists from various disciplines. Tremor results from dynamic interactions between multiple synaptically coupled neuronal systems and the biomechanical, physical, and electrical properties of the external effectors. There have been major advances in our understanding of tremor pathogenesis these last three decades, thanks to new imaging techniques and genetic discoveries. Moreover, significant progress in computer technologies, developments of reliable and unobtrusive wearable sensors, improvements in miniaturization, and advances in signal processing have opened new perspectives for the accurate characterization and daily monitoring of tremor. New therapies are emerging. In this book, we provide an overview of tremor from pathogenesis to therapeutic aspects. We review the definitions, the classification of the varieties of tremor, and the contribution of central versus peripheral mechanisms. Neuroanatomical, neurophysiological, neurochemical, and pharmacological topics related to tremor are pointed out. Our goals are to explain the fundamental basis of tremor generation, to show the recent technological developments, especially in instrumentation, which are reshaping research and clinical practice, and to provide up-to-date information related to emerging therapies. The integrative transdisciplinary approach has been used, combining engineering and physiological principles to diagnose, monitor, and treat tremor. Guidelines for evaluation of tremor are explained. This book has been written for biomedical engineering students, engineers, researchers, medical students, biologists, neurologists, and biomedical professionals of any discipline looking for an updated and multidisciplinary overview of tremor. It can be used for biomedical courses. Table of Contents: Introduction / Anatomical Overview of the Central and Peripheral Nervous System / Physiology of the Nervous System / Characterization of Tremor / Prinipal Disorders Associated with Tremor / Quantification of Tremor / Mechanisms of Tremor / Treatments
This book represents the final work of the late Professor C. David Marsden, who was the most influential figure in the field of movement disorders, in terms of his contributions to both research and clinical practice, in the modern era. It was conceived and written by David Marsden and his colleague at the Institute of Neurology, Prof. Ivan Donaldson. It was their intention that this would be the most comprehensive book on movement disorders and also that it would serve as the 'clinical Bible' for the management of these conditions. It provides a masterly survey of the entire topic, which has been made possible only by vast laboratory and bedside experience. Marsden's Book of Movement Disorders covers the full breadth of movement disorders, from the underlying anatomy and understanding of basal ganglia function to the diagnosis and management of specific movement disorders, including the more common conditions such as Parkinson's Disease through to rare, and very rare conditions such as Niemann-Pick disease. Chapters follow a structured format with historical overviews, definitions, clinical features, differential diagnosis, investigations and treatment covered in a structured way. It is extensively illustrated with many original photographs and diagrams of historical significance. Among these illustrations are still images of some original film clips of some of Dr. Marsden's patients published here for the first time. Comprehensively referenced and updated by experts from the Institute of Neurology at Queen Square, this book is a valuable reference for, not just movement disorder specialists and researchers, but also for clinicians who care for patients with movement disorders.
Tremor is intimately linked to the numerous interactions of the central and peripheral nervous system components tuning motor control, from the cerebral cortex to the peripheral effectors. Activities of central generators, reflex loop delays, inertia, stiffness, and damping are all factors that influence the features of tremor. This completely updated new edition discusses the pathophysiology of tremor, including membrane mechanisms and rodent models, the advances in genetics, and the musculoskeletal models pertinent to body oscillations. The main forms of tremor encountered during clinical practice are considered, taking into account neuroimaging aspects. The book covers recent advances in methodologies and techniques of assessment and provides practical information for daily management. This new edition is informed by the guidelines of the Tremor Task Force of the International Parkinson and Movement Disorders Society. New chapters include Classification of Tremors, Medically Induced Tremors, Resting State fMRI, and Gabaergic Pathways. In addition to pharmacological treatments, neurosurgical approaches such as deep brain stimulation (DBS) and thalamotomy are discussed. Emerging techniques under development are also introduced.
I Can't Stop Shaking, Over 10 Million People are Affected By Essential Tremor, provides important medical information, tips on living with Essential Tremor, as well as personal accounts of people living with Essential Tremor. In the medical section Dr. Peter A LeWitt, a neurologist who sub-specializes in movement disorders, answers questions about Essential Tremor. Dr. LeWitt has been practicing neurology and been involved with Essential Tremor since 1980. Dr. LeWitt explains in simple terms what Essential Tremor is, how it affects people, and medical treatments for Essential Tremor. In the personal stories section people who have Essential Tremor speak candidly and openly about what life is like living with Essential Tremor. Each person has their own way of dealing with it, some with great optimism, others with equally great frustration. Readers who have Essential Tremor will no doubt see bits and pieces of themselves within these stories. There are also dozens of tips on better ways of living with Essential Tremor that will help the sufferer to better cope with their handicap. Some of the tips inside the book are: .Use an electric toothbrush. .Tell the people at your bank that you have ET .Use credit and debit cards instead of writing checks. .Use eating utensils that have large handles. .Use a 1 in.-deep dish that has vertical sides. .Hold your drinking glass in the palm of your non-dominant hand and steady it with your dominant hand. .Eat with the utensil pointing toward you with as much twist to your wrist as you can manage. Sandy Kamen Wisniewski was diagnosed with ET when she was 14 years old. During her childhood she hid her tremor by tucking her hands in her pockets or up her sleeves. She also avoided many social situations where eating in public was necessary. She spent her young adulthood unaware the so many people had Essential Tremor so she struggled alone. Then in 1999 she learned that a group of people with Essential tremor were meeting at a public library and were having a neurologist as a guest speaker. After the meeting she realized for the first time she wasn't alone. In 2001 Sandy found the courage to finally speak out about Essential Tremor and wrote a personal essay titled I Couldn't Stop Shaking, which was published in Woman's Day magazine in May 2001. Since that time she has written numerous articles on Essential Tremor, spoken to groups around the country about Essential Tremor, in addition to being interviewed on Chicago's WGN news and WLS News. She also appeared on the Debra Duncan Show, a Disney sponsored talk show, about ET. Sandy is a freelance writer, business owner, mother and wife. She resides in Libertyville, Illinois.
This practical, concise guide discusses how to distinguish different types of tremor and make the diagnosis of essential tremor. Written in an easy-to-read format, this book summarises other conditions that may be confused with essential tremor and details all current treatment options for this condition, including medications, surgery and non-invasive alternatives. Examination techniques for patients with a tremor complaint are described, some of which may be novel to the general practitioner, and case studies full of diagnostic and examination pearls are provided. Essential Tremor in Clinical Practice is an updated version of Abdul Qayyum Rana’s previous book, An Introduction to Essential Tremor. Busy clinicians, including internists, general and family practitioners, and geriatricians will benefit from this short yet comprehensive, clinically focussed volume.
"Essential Tremor" is the most common movement disorder, which may be mild in severity, and therefore may not come to medical attention in many cases. However, essential tremor is sometimes quite debilitating and may interfere with one's daily activities. Unfortunately there is no cure for essential tremor, but there are many successful treatments, which can be beneficial to many patients. This guide briefly discusses the etiology, pathophysiology, symptoms and different treatments available for this condition. This guide may be used by medical students, general practitioners and other healthcare professionals. The patients and their family members who want to learn more about this condition may find useful information in this manual as the content of this booklet has been simplified to a great extent. This booklet represents an overview of the work of many experts in the field of movement disorders.
