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Chapter 1

Medical management

Do your patients complain of “on” and “off” periods? This chapter addresses motor fluctuations, the wearing-off phenomenon, and treating dyskinesias.
8 Lessons
27m 30s
Medical management intro
22s
Defining wearing-off and dyskinesia
3m 41s
Introducing strategies for wearing-off
4m 8s
Using on-demand therapies for OFF episodes
4m 48s
Treating dyskinesia
4m 56s
Treating motor fluctuations
5m 28s
Managing patients with motor fluctuations and dyskinesia
4m 7s
Medical management quiz
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Chapter 2

Device-assisted and lesioning therapies

How do you select the best therapy for your patient? This chapter covers the indications for DBS, lesioning procedures, levodopa-carbidopa intestinal gel, and apomorphine infusion.
9 Lessons
21m 35s
Device-assisted and lesioning therapies intro
27s
Introducing device-assisted and lesioning therapies
2m 35s
Identifying patients who qualify for therapy
3m 38s
Evaluating patients for treatment
2m 35s
Deciding when to use deep brain stimulation
3m 53s
Selecting MRI-guided focused ultrasound
2m 40s
Choosing levodopa-carbidopa intestinal gel
2m 55s
Selecting continuous subcutaneous apomorphine infusion
2m 52s
Device-assisted and lesioning therapies quiz
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Chapter 3

Deep brain stimulation

Let’s dive into deep brain stimulation and how it works! We’ll cover the different anatomical targets, clinical benefits, potential complications, and contraindications.
8 Lessons
19m 27s
Deep brain stimulation intro
24s
Explaining DBS to patients
2m 22s
Introducing surgical targets
1m 54s
Reviewing clinical outcomes and benefit duration
2m 5s
Describing DBS surgery, complications, and side effects
3m 52s
Programming the device
4m 37s
Reviewing contraindications and precautions
4m 13s
Deep brain stimulation quiz
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Chapter 4

Lesioning procedures

In this chapter, you’ll get a solid introduction to the main types of lesioning procedures, including MRI-guided focused ultrasound.
4 Lessons
7m 4s
Lesioning procedures intro
25s
Describing lesioning procedures
3m 42s
Explaining MRI-guided focused ultrasound
2m 57s
Lesioning procedures quiz
Quiz
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Chapter 5

Levodopa-carbidopa intestinal gel

Levodopa-carbidopa intestinal gel (LCIG) is another tool in your therapeutic tool kit. Learn how it works, how to initiate and titrate therapy, and how to manage complications.
6 Lessons
21m 49s
Levodopa-carbidopa intestinal gel intro
26s
Introducing levodopa-carbidopa intestinal gel
3m 18s
Administering levodopa-carbidopa intestinal gel
6m 46s
Reviewing complications
3m 48s
Managing patients on long-term therapy
7m 31s
Levodopa-carbidopa intestinal gel quiz
Quiz
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Chapter 6

Apomorphine therapy

Administer apomorphine like a pro! Learn how subcutaneous apomorphine treatments work, how to administer and titrate them, and how to address common complications.
7 Lessons
22m 11s
Apomorphine therapy intro
26s
Describing continuous subcutaneous apomorphine infusion
4m 21s
Administering subcutaneous apomorphine
5m 2s
Addressing complications
4m 7s
Managing patients on long-term therapy
7m 39s
Apomorphine therapy quiz
Quiz
Parkinson's Masterclass: Advanced Therapeutics outro
36s
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Teachers of this course
Image of Kelvin L. Chou, MD
Kelvin L. Chou, MD
Co-director of both the Parkinson’s Disease and Movement Disorders Division as well as the STIM (Surgical Therapies Improving Movement) program at the University of Michigan.
Teacher profile
CME credit information
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Consultants and Medmastery GmbH. CME Consultants is accredited by the ACCME to provide continuing medical education for physicians.

CME Consultants designates this enduring material activity for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.