DIAGNOSIS AND TREATMENT OF PARKINSON’S DISEASE Edited by Abdul Qayyum Rana Diagnosis and Treatment of Parkinson’s Disease Edited by Abdul Qayyum Rana Published by InTech Janeza Trdine 9, 51000 Rijeka, Croatia Copyright © 2011 InTech All chapters are Open Access articles distributed under the Creative Commons Non Commercial Share Alike Attribution 3.0 license, which permits to copy, distribute, transmit, and adapt the work in any medium, so long as the original work is properly cited. After this work has been published by InTech, authors have the right to republish it, in whole or part, in any publication of which they are the author, and to make other personal use of the work. Any republication, referencing or personal use of the work must explicitly identify the original source. Statements and opinions expressed in the chapters are these of the individual contributors and not necessarily those of the editors or publisher. No responsibility is accepted for the accuracy of information contained in the published articles. The publisher assumes no responsibility for any damage or injury to persons or property arising out of the use of any materials, instructions, methods or ideas contained in the book. Publishing Process Manager Silvia Vlase Technical Editor Teodora Smiljanic Cover Designer Jan Hyrat Image Copyright Supri Suharjoto, 2011. Used under license from Shutterstock.com First published September, 2011 Printed in Croatia A free online edition of this book is available at www.intechopen.com Additional hard copies can be obtained from [email protected] Diagnosis and Treatment of Parkinson’s Disease, Edited by Abdul Qayyum Rana p. cm. ISBN 978-953-307-465-8 free online editions of InTech Books and Journals can be found at www.intechopen.com Contents Preface IX Chapter 1 Diagnosis and Differential Diagnosis of Parkinson’s Disease 1 Paul Lingor, Jan Liman, Kai Kallenberg, Carsten-Oliver Sahlmann and Mathias Bähr Chapter 2 Impact of Dopamine Transporter Scan in Parkinson´s Disease 21 Jörg Spiegel Chapter 3 CFS Biomarkers in Parkinson’s Disease 29 Lucilla Parnetti, Anna Castrioto, Claudia De Carlo, Davide Chiasserini, Nicola Tambasco, Aroldo Rossi, Chiara Balducci, Tommaso Beccari and Paolo Calabresi Chapter 4 Neuropsychological Functions and SPECT Neuroimaging in Parkinson’s Disease 49 Lambros Messinis, Athanasios Papathanasiou, Epameinondas Lyros, George Gatzounis and Panagiotis Papathanasopoulos Chapter 5 Imaging Dyskinesias in Parkinson’s Disease 69 Marios Politis and Clare Loane Chapter 6 Combinations of Markers Provide Clues to the Underlying Neurodegenerative Disorder in REM Sleep Behavior Disorder 89 Tomoyuki Miyamoto and Masayuki Miyamoto Chapter 7 Advances in Drug Therapy: Alternative Treatments for the Control of Motor Fluctuations and Dyskinesias 105 José Matías Arbelo González and Rocío Malo de Molina Zamora Chapter 8 The Role of Feedback in Decision Making 117 Magda Osman VI Contents Chapter 9 Balance and Gait Rehabilitation in Patients with Parkinson’s Disease 141 Nicola Smania, Alessandro Picelli, Christian Geroin, Patrizia Ianes, Elisabetta La Marchina, Andrea Zenorini and Marialuisa Gandolfi Chapter 10 How to Stay Active with Parkinson’s Disease 183 Abu Qutubuddin Chapter 11 Invasive and Non-Invasive Stimulation in Parkinson’s Disease 189 Caspar Stephani Chapter 12 Mechanisms of High Frequency Stimulation of the Subthalamic Nucleus in Parkinson's Disease: From Local to Distal Effects on the Basal Ganglia Network 211 Marc Savasta, Carole Carcenac and Sabrina Boulet Chapter 13 Thalamic Deep Brain Stimulation for Parkinson’s Disease 233 Ryoma Morigaki, Shinji Nagahiro, Ryuji Kaji and Satoshi Goto Chapter 14 Post-Operative Management of Parkinson Patients with Deep Brain Stimulation 253 Niels Allert and Volker Arnd Coenen Preface Diagnosis of Parkinson’s disease at times could be challenging even for the expert clinicians. Currently there are no laboratory investigations available for the definite diagnosis of this complicated condition; however some progress is being made to develop tools which may aid in the diagnosis of Parkinson’s disease. A summary of current knowledge about biomarkers and various imaging techniques which may be helpful in diagnosis of Parkinson’s disease is given in various chapters of this book. A discussion about the differential diagnosis of Parkinson’s disease has been generated. As Parkinson’s disease advances, both motor and non-motor symptoms also progress, the management of which becomes challenging for the treating physician. This book provides an up to date account of all available treatments of Parkinson’s disease. Various modes of treatment such as pharmacotherapy, physical therapy have discussed in detail in addition to the latest developments on the surgical treatments of Parkinson’s disease. A chapter on postoperative care of patients has also been included in this text. Not only clinicians dealing with day to day problems caused by Parkinson’s disease can use this book as a guideline, but other health care workers may find useful information in this book. Clinical information presented in this book is considered generally accepted practice; however the authors, editor, and publisher are not responsible for any errors, omissions, or consequences from the application of this information. Every effort has been made to present correct and up to date information in this book but medicine is a field with ongoing research and development, therefore readers may use other sources if the content of this book is found to be insufficient. Dr. Abdul Qayyum Rana Parkinson's Clinic of Eastern Toronto & Movement Disorders Center Toronto, Canada