“Continuum” is a journal published by the American Academy of Neurology. Its subtitle is “Lifelong Learning in Neurology.” It’s a study-guide for neurologists. Every year or maybe every other year they have an issue devoted to movement disorders. Within that issue, there’s always an article on three parkinsonian syndromes — PSP, MSA, and CBD. This year’s article has two authors — Dr. Irene Litvan, who was the keynote speaker at our October 2012 atypical parkinsonism symposium, and Dr. David Williams, a rising star in the atypical parkinsonism community. (Unfortunately for us, Dr. Williams lives in Australia.)
The study-guide is available at no charge online:
Continuum (Minneap Minn). 2013 Oct; 19(5 Movement Disorders): 1189–1212.
David R. Williams, MD, MBBS, PhD, FRACP and Irene Litvan, MD, FAAN
The MSA-related section of the study-guide has four parts:
#1 – an overview of how MSA is diagnosed. This section may include too much medical lingo for many in our group.
#2 – a very short section on “natural history.” This is easy-to-read.
#3 – treatment paradigm. I suggest you concentrate on this section. Though it has quite a bit of medical jargon, I think it’s understandable. It refers to a “multidisciplinary team approach.”
#4 – a case report of someone with MSA-P. A video is available of someone with rigidity.