The New Parkinson's Disease Treatment Book: Partnering with Your Doctor to Get the Most from Your Medications (2nd edition)

ISBN : 9780190231866

J. Eric Ahlskog
544 ページ
178 x 239 mm

As many as one million Americans, including Michael J. Fox and Muhammad Ali, suffer from Parkinson's Disease. Now, a leader in the fight against Parkinson's, Dr. J. Eric Ahlskog of the Mayo Clinic, has revised and updated his definitive guide for patients and their families. Dr. Ahlskog offers a crystal-clear, nuts-and-bolts approach to the treatment of PD, distilled from more than 30 years of experience as a clinician and researcher. His goal is to educate patients so that they can better team with their doctors to do battle with the disease, streamlining the decision-making process and enhancing their treatment. To do this, Dr. Ahlskog offers a gold mine of information: How do I know if I have PD? What kinds of tests can I take? What medications slow the progress of the disease? What if medications don't help my tremor? What kinds of movement problems may develop later? How can I cope with insomnia and daytime sleepiness, dizziness and depression, memory problems, paranoia, and delusions? Indeed, the book covers virtually every topic related to Parkinson's, from sexual impotence and skin rashes, to the role of nutrition, exercise, and physical therapy. In addition, Dr. Ahlskog discusses brain surgery (though he urges that patients only consider this as a last resort) and such experimental therapies as stem cell transplantation and gene therapy. There are also lists of support and advocacy groups and Web sites that focus on Parkinson's. The ultimate guide to symptoms and treatment, this thoroughly updated Second Edition is the first place patients should turn for reliable, easy-to-grasp information on Parkinson's disease.


1. Background
Part I. Basic Facts about the Brain and Parkinson's Disease
2. Primer on the Brain
3. Parkinson's Disease: Changes in the Brain and Beyond
Part II. Parkinson's Disease: Diagnosis and Prognosis
4. How do I Know If I Have Parkinson's Disease?
5. Prognosis
Part III.
6. Conditions Mistaken for Parkinson's Disease
7. Testing
Part IV. The Cause and Progression of Parkinson's Disease
8. Clues to the Cause(s): Genes, Environment
9. Drugs or Strategies to Slow Parkinson's Disease Progression?
Part V. The Movement Problems of Parkinson's Disease: Medication Rationale and Choices
10. Medications for Movement Problems (Gait, Tremor, Slowness): Background and Rationale
11. Starting Medical Treatment of Parkinson's Disease Movement Problems
Part VI. Beginning Treatment of Parkinson's Disease: Medication Guidelines
12. Starting Levodopa Treatment
13. Starting Dopamine Agonist Treatment
14. Refractory Tremor Syndromes: "
Part VII. The Early Years on Medications
15. The First Few Years on Carbidopa/Levodopa Treatment
16. The Early Years of Parkinson's Disease If Started on Other Drugs
Part VIII. Later Medication Inconsistency: Motor Fluctuations and Dyskinesias
17. Later-Developing Movement Problems: Motor Fluctuations and Dyskinesias Treated with Levodopa Adjustments
18. Supplemental Drugs for Motor Fluctuations and Dyskinesias
Part IX. Other Treatment Problems: Not Just a Movement Disorder
19. Subjective Parkinson's Disease Symptoms Due to Dopamine Deficiency
20. Sleep Problems: Insomnia, Daytime Sleepiness, and Nighttime Disruptions
21. Orthostatic Hypotension and Other Causes of Dizziness
22. Depression
23. Thinking, Memory, and Dementia
24. Hallucinations, Paranoia, Delusions, and Problematic Compulsive Behaviors
25. Problems with Swallowing, Saliva, and Speaking
26. Managing Digestive Problems and Constipation
27. Urinary Symptoms
28. Sexual Dysfunction, Estrogen, and Menstrual cycles
29. Other Treatment Problems: Swelling, Skin rashes, and Visual symptoms
Part X. Nutrition, Exercise, Work, and Family
30. Diets, Vitamins, Nutrition, Osteoporosis
31. Exercise, Physical Medicine, and Physical Therapy
32. Family, Friends, the Workplace, and Caregivers
Part XI. Surgery and Procedures for Parkinson's Disease: Present and Future
33. Deep Brain Stimulation (DBS) and Other Brain Surgery for Parkinson's Disease
34. Experimental Treatments: Fetal and Stem Cell Implantation
Neurotrophic Hormone and Gene Therapy
Vaccines and Immunotherapy
Part XII. Parkinson's Disease Information Services
35. Support and advocacy groups
the Internet


J. Eric Ahlskog, Ph.D., M.D., is Professor of Neurology at the Mayo Medical School, and Chair of the Mayo Section of Movement Disorders, Mayo Clinic, Rochester, Minnesota. Widely considered to be a leading authority on this disorder, he has more than 30 years of experience treating people with Parkinson's Disease, both in the clinic as a full-time, patient-seeing neurologist, and as a clinical-investigator responsible for PD treatment protocols.