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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.
7 lessons
28m
Medical management intro
1m
Defining wearing-off and dyskinesia
4m
Introducing strategies for wearing-off
5m
Using on-demand therapies for OFF episodes
5m
Treating dyskinesia
5m
Treating motor fluctuations
6m
Managing patients with motor fluctuations and dyskinesia
5m
Medical management quiz
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.
8 lessons
22m
Device-assisted and lesioning therapies intro
1m
Introducing device-assisted and lesioning therapies
3m
Identifying patients who qualify for therapy
4m
Evaluating patients for treatment
3m
Deciding when to use deep brain stimulation
4m
Selecting MRI-guided focused ultrasound
3m
Choosing levodopa-carbidopa intestinal gel
3m
Selecting continuous subcutaneous apomorphine infusion
3m
Device-assisted and lesioning therapies quiz
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.
7 lessons
20m
Deep brain stimulation intro
1m
Explaining DBS to patients
3m
Introducing surgical targets
2m
Reviewing clinical outcomes and benefit duration
3m
Describing DBS surgery, complications, and side effects
4m
Programming the device
5m
Reviewing contraindications and precautions
5m
Deep brain stimulation quiz
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.
3 lessons
8m
Lesioning procedures intro
1m
Describing lesioning procedures
4m
Explaining MRI-guided focused ultrasound
3m
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.
5 lessons
22m
Levodopa-carbidopa intestinal gel intro
1m
Introducing levodopa-carbidopa intestinal gel
4m
Administering levodopa-carbidopa intestinal gel
7m
Reviewing complications
4m
Managing patients on long-term therapy
8m
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.
6 lessons
23m
Apomorphine therapy intro
1m
Describing continuous subcutaneous apomorphine infusion
5m
Administering subcutaneous apomorphine
6m
Addressing complications
5m
Managing patients on long-term therapy
8m
Apomorphine therapy quiz
Quiz
Parkinson's Masterclass: Advanced Therapeutics outro
1m
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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.
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