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Halim Fadil, MD : Movement Disorder Neurologist

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  1. Movement Disorder Program Kane Hall Barry Neurology Bedford/Keller Halim Fadil, MD: Movement Disorder Neurologist Susan Imke, FNP: Gerontological Nurse Practitioner In partenership with: Abdolreza Siadati, MD,DBS Neurosurgeon Fort Worth Brain and Spine Institute

  2. Neurology Residency: LSU Shreveport, LA • Neurophysiology Fellowship: UC Davis • Movement Disorders Fellowship: Cedars-Sinai Medical Center, Los Angeles, CA With Dr. Michele Tagliati

  3. An Essay on The Shaking Palsy “Involuntary tremulous motion, with lessened muscular power, in parts not in action and even when supported; With a propensity to bend the trunk forwards, and to pass from a walking to a running pace: the senses and intellects being uninjured.” James Parkinson, 1817.

  4. Clinical Features of PD Four cardinal signs • Bradykinesia (Slowness) • Muscle rigidity (Stiffness) • Resting tremor • Postural instability Characteristic traits • Asymmetric onset • Masked face • Micrographia • Low volume speech • Flexed posture • Shuffling and festinating gait • Response to levodopa

  5. Non-Motor Symptoms of PD Sleep Disorders • Insomnia • Sleep Fragmentation • Parasomnias • Restless Legs Syndrome • PLMS • Excessive daytime sleepiness • Sleep attacks Sensory • Loss of sense of smell • Pain • Paresthesias • Altered sensation • Restless legs Psychiatric • Dementia • Hallucinations • Delirium • Mood Disturbance • Depression • Agitation • Anxiety and Panic Attacks Autonomic • Orthostatic Hypotension • Constipation • Urinary problems • Sexual problems • Sweating and Thermoregulation

  6. Constipation

  7. Uncontrolled loss of stool

  8. Nausea/Vomiting

  9. Bladder dysfunction

  10. Changes in taste and smell

  11. Unexplained pain

  12. Unexplained changes in weight

  13. Cognitive impairment and dementia

  14. Hallucinations

  15. Depression

  16. Orthostatic hypotension

  17. Sexual dysfunction

  18. Insomnia

  19. REM sleep behavior disorder

  20. Thank you