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Post-stroke movement syndromes

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<strong>Post</strong>-<strong>stroke</strong> <strong>movement</strong> disorders<br />

<strong>Post</strong>-<strong>stroke</strong> <strong>movement</strong> disorders<br />

Treatment<br />

• Parkinsonism – true vascular parkinsonism rarely respond<br />

to convetional dopaminergic therapy<br />

– Treatment for risk factors for atherosclerotic diseases – antiplatelet<br />

agents, statins and anti-hypertensives.<br />

• Idiopatic Parkinson’s disease and vascular parkinsonism<br />

can co-exist so we can give levodopa in order not to miss<br />

any dopaminergic responsiveness.<br />

– Just as important in the apparent non-responders is to wean off<br />

levodopa to confirm that no response, in fact, occurred and to stop<br />

unneccessary medication

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