Movement disorders in the older patient: Differential diagnosis and general management
Mark S. Baron, MD
Virginia Commonwealth University School of Medicine and the Southeast Parkinson’s Disease Research, Education and Clinical Center (PADRECC), Hunter Holmes McGuire VA Medical Center, Richmond, VA
Correspondence: Mark S. Baron, MD, Director, Southeast Parkinson’s Disease Research, Education and Clinical Center, Hunter Holmes McGuire VA Medical Center, 1201 Broad Rock Road, Richmond, VA 23249; firstname.lastname@example.org
Dr. Baron reported that he has no financial interests or affiliations that pose a potential conflict of interest with this article.
Movement disorders are especially prevalent in the elderly, and some are highly treatable. Because reduced agility and slowing of gait are associated with numerous movement disorders as well as with the normal aging process, the differential diagnosis of movement disorders in the elderly can be challenging. Many of these disorders share features of parkinsonism—hypokinesia, tremor, and muscular rigidity. This article reviews common and less common movement disorders in the elderly from a primary care perspective, with an emphasis on the presenting features and the differential diagnosis. It also provides general management recommendations with advice for tailoring treatment to elderly patients.
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