Message from your Medical Editors: September 2008
By Marcelo J. Merello, MD, PhD and Hubert H. Fernandez, MD
Meet the Editors
Welcome to the September edition of your website! We do hope you have found the initial modifications we introduced last month useful, such as the drop down menus to facilitate your navigation of the website. Over the succeeding monthly edition, we will be implementing further changes to ensure that our website is useful and user-friendly to any member of our Society and for any scientist, advocate and health care provider interested in Movement Disorders.
In this September edition, a link to PubMed was added on the home page so our members can quickly browse the medical literature without leaving the website. We are also launching a new feature: Curbside Consults. This new section allows our members to submit their most interesting and challenging clinical cases for comments and suggestions. View our first consultation and send us your comments. Feel free to also submit your own Curbside Consult. Your Medical Editors will select at least one case for general discussion for each monthly edition.
For the Editor’s Choice of the Article of the Month, we have selected the article by Florence Negres-Pages et al that addresses pain in PD along with a brief review and critique by Professor Sergio Starkstein. Non motor symptoms in PD are missed by specialists in as much as 50% of the cases, even when specialists have had specific training to do so. Non-motor symptoms may be present in the early stages of the disease or even precede the detection the more often appreciated motor symptoms, as in cases of chronic sleep disorders, REM behavior disorders, and hyposmia. The topic of non motor symptoms is complex and the prevalence of non motor symptoms as a whole has not been established. Pain prevalence in Parkinson’s disease, for example, ranges between 40-75%. The relationship between pain and anti-parkinsonian medication is confusing. While some studies find that the same drug could ease pain, other studies find worsening of pain due to dopaminergic drugs. Recently some papers have shown that the musculoskeletal pain similar to rheumatic characteristics seen in elderly patients was more prevalent in parkinsonian patients rather than in normal controls, on the other hand the pain that not classified within this group and identified as dystonic was clearly related to motor fluctuations and dyskinesias. This is why we have selected Florence Negres-Pages' most interesting article, which addresses pain in Parkinson disease with an interesting approach. We believe that together with the comments of Prof. Sergio Starkstein, it will be of great interest to all those specialists who visit the website.
In the near future, a new version of the member’s directory is underway, hopefully with PDA, mobile, and iPhone versions. Our video library is growing steadily with fascinating cases that you can explore, including our current and archived Case of the Month. We would like to enrich this section in the near future with educational videotapes that will include the most classical Movement Disorders for students and young physicians. We strongly encourage you to explore the website and send us your comments, criticism and proposals.