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Movement Disorders in Childhood - 2nd Edition - ISBN: 9780124115736, 9780124115804

Movement Disorders in Childhood

2nd Edition

Authors: Harvey Singer Jonathan Mink Donald Gilbert Joseph Jankovic
Hardcover ISBN: 9780124115736
eBook ISBN: 9780124115804
Imprint: Academic Press
Published Date: 27th October 2015
Page Count: 594
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Movement Disorders in Childhood, Second Edition, provides the most up-to-date information on the diseases and disorders that affect motor control, an important area of specialization within child neurology.

Over the past several decades, advances in genetics, neuroimaging, neurophysiology, and other areas of neuroscience have provided new understanding of the underlying etiologies and mechanisms of these conditions as well as new opportunities for more accurate diagnosis and effective treatment.

This new edition builds upon the success of the first edition, with comprehensive scientific and clinical updates of all chapters. In addition, there are new chapters on hereditary spastic paraplegia, quantitative motor assessments, autoimmune disorders, and movement disorders in the developmental neuropsychiatric disorders ADHD, OCD, and autism.

Additional materials are provided on the latest in drug treatments, computer based strategies for genetic diagnosis, and helpful videos for phenomenology.

Key Features

  • Provides the only current reference specifically focused on childhood movement disorders
  • Investigates the underlying etiologies and mechanisms of these disorders
  • Completely revised and updated with new materials and a more disease-oriented approach
  • New coverage of genetics and movement disorders, immunology and movement disorders, and an introduction to the latest quantitative analysis
  • New videos of instructive and unusual childhood movement disorders
  • 2016 BMA Medical Book Awards Highly Commended in Neurology


Neurologists, pediatricians, developmental pediatricians, and clinical researchers interested in pediatric neurology

Table of Contents

  • Preface
  • Acknowledgment
  • Section I: Overview
    • Chapter 1. Basal Ganglia Anatomy, Biochemistry, and Physiology
      • Abstract
      • Introduction
      • Circuits and Neurotransmitters in the Basal Ganglia
      • Subthalamic Nucleus (STN)
      • Output Nuclei: Globus Pallidus Interna (GPi) and Substantia Nigra pars reticulata (SNpr)
      • Globus Pallidus externa (GPe)
      • Inhibiting and Disinhibiting Motor Patterns
      • Implications for Disease: Focal Lesions and Abnormal Movements
      • References
    • Chapter 2. Cerebellar Anatomy, Biochemistry, Physiology, and Plasticity
      • Abstract
      • Introduction
      • Overview of Cerebellar Structure, Function, and Symptoms
      • Macroscopic to Microscopic Cerebellar Structure
      • Neurotransmitters in the Cerebellum
      • Neuroplasticity in the Cerebellum
      • Cerebellar Stimulation
      • Conclusion
      • References
    • Chapter 3. Classification of Movement Disorders
      • Abstract
      • Introduction
      • Ataxia (Chapter 14)
      • Athetosis (Chapter 10)
      • Ballismus (Chapter 10)
      • Chorea (Chapter 10)
      • Dystonia (Chapter 11)
      • Myoclonus (Chapter 12)
      • Parkinsonism (Chapter 15)
      • Stereotypies (Chapter 8)
      • Tics (Chapter 7)
      • Tremor (Chapter 13)
      • References
    • Chapter 4. Diagnostic Evaluation of Children with Movement Disorders
      • Abstract
      • Introduction
      • Preclinic
      • In Clinic
      • The Diagnosis
      • Summary
      • References
    • Chapter 5. Motor Assessments
      • Abstract
      • Introduction
      • Quantitative Measurement in Movement Disorders
      • Rating Scales for Pediatric Movement Disorders
      • References
  • Section II: Developmental Movement Disorders
    • Chapter 6. Transient and Developmental Movement Disorders in Children
      • Abstract
      • Benign Neonatal Sleep Myoclonus
      • Benign Myoclonus of Early Infancy (Benign Infantile Spasms)
      • Jitteriness
      • Shuddering
      • Paroxysmal Tonic Upgaze of Infancy
      • Spasmus Nutans
      • Head Nodding
      • Benign Paroxysmal Torticollis
      • Benign Idiopathic Dystonia of Infancy
      • Sandifer Syndrome
      • Posturing During Masturbation
      • References
  • Section III: Paroxysmal Movement Disorders
    • Chapter 7. Tics and Tourette Syndrome
      • Abstract
      • Introduction
      • Tic Phenomenology
      • Tic Disorders
      • Epidemiology
      • Scales
      • Outcome
      • Associated Behaviors and Psychopathologies in Tic Disorders
      • Etiology
      • Pathophysiology of Tic Disorders
      • Treatment
      • References
    • Chapter 8. Motor Stereotypies
      • Abstract
      • Introduction
      • Definition
      • Differentiating Stereotypies from Other Disorders
      • Pathophysiology
      • Classification of Motor Stereotypies
      • Therapy
      • Patient and Family Resources
      • References
    • Chapter 9. Paroxysmal Dyskinesias
      • Abstract
      • Introduction
      • Clinical Characteristics
      • Specific Disorders
      • References
  • Section IV: Hyperkinetic and Hypokinetic Movement Disorders
    • Chapter 10. Chorea, Athetosis, and Ballism
      • Abstract
      • Introduction and Overview
      • Definitions of Chorea, Athetosis, and Ballism
      • Clinical Characteristics—Phenomenology of Chorea, Athetosis, and Ballism in Children
      • Localization and Pathophysiology
      • Diseases and Disorders
      • Summary of Diagnostic and Therapeutic Approach
      • References
    • Chapter 11. Dystonia
      • Abstract
      • Introduction
      • Classification of Dystonias
      • Localization and Pathophysiology
      • Etiologies
      • Diagnostic Approach to Dystonia
      • Management and Treatment
      • Patient and Family Resources
      • References
    • Chapter 12. Myoclonus
      • Abstract
      • Introduction and Overview
      • Definition of Myoclonus
      • Clinical Characteristics—Phenomenology of Myoclonus in Children
      • Localization and Pathophysiology
      • Diseases and Disorders
      • Autosomal Dominant, Cortical Myoclonus without Epilepsy
      • Hemifacial Spasm
      • Summary of Diagnostic and Therapeutic Approach
      • References
    • Chapter 13. Tremor
      • Abstract
      • Introduction and Overview
      • Definition of Tremor
      • Clinical Characteristics—Phenomenology of Tremor in Children
      • Localization and Pathophysiology
      • Diseases and Disorders
      • Approach to Diagnosis and Management
      • References
    • Chapter 14. Ataxia
      • Abstract
      • Introduction and Overview
      • Definition of Ataxia
      • Clinical Characteristics—Phenomenology of Ataxia in Children
      • Localization and Pathophysiology
      • Diseases and Disorders
      • Approach to Diagnosis and Management
      • Summary
      • References
    • Chapter 15. Parkinsonism
      • Abstract
      • Introduction
      • Clinical Features of Parkinsonism
      • Pathophysiology of Parkinsonism
      • Etiologies of Parkinsonism in Children
      • Secondary Parkinsonism
      • Treatment of Parkinsonism
      • References
    • Chapter 16. Hereditary Spastic Paraplegia
      • Abstract
      • Introduction and Overview
      • Definitions of Spasticity and Hypertonia
      • Clinical Characteristics—Phenomenology of Spastic Paraplegia in Children
      • Localization and Pathophysiology
      • Diseases and Disorders
      • Treatment
      • Diagnostic and Management Approach
      • Summary
      • References
  • Section V: Selected Secondary Movement Disorders
    • Chapter 17. Inherited Metabolic Disorders with Associated Movement Abnormalities
      • Abstract
      • Pediatric Neurotransmitter Disorders
      • Metabolic Disorders
      • References
    • Chapter 18. Movement Disorders in Autoimmune Diseases
      • Abstract
      • Complication of a Systemic Autoimmune Disorder
      • Post-Streptococcal Infections
      • Autoimmune Basal Ganglia Encephalitis
      • Autoimmune Encephalopathies
      • Other Paraneoplastic Syndromes
      • References
    • Chapter 19. Movements that Occur in Sleep
      • Abstract
      • Overview of Sleep Physiology
      • Classification of Movements in Sleep
      • Sleep-Related Movement Disorders
      • Hyperkinetic Movement Disorders that are Present during the Daytime and Persist during Sleep
      • Seizures in and Around the Time of Sleep
      • References
    • Chapter 20. Cerebral Palsy
      • Abstract
      • Introduction
      • Epidemiology
      • Etiology
      • Differentiating Hypertonia in Children
      • Cerebral Palsy Syndromes
      • Diagnostic Tests
      • Management of Cerebral Palsy
      • References
    • Chapter 21. Movement Disorders and Neuropsychiatric Conditions
      • Abstract
      • Attention Deficit Hyperactivity Disorder
      • Obsessive Compulsive Disorder
      • Autism Spectrum Disorder
      • Conclusion
      • References
    • Chapter 22. Drug-Induced Movement Disorders in Children
      • Abstract
      • Introduction and Overview
      • Definition of DIMDs
      • Clinical Characteristics—Phenomenology of DIMDs in Children
      • Drug-Induced Movement Disorders
      • Conclusion
      • References
    • Chapter 23. Functional (Psychogenic) Movement Disorders
      • Abstract
      • Introduction
      • Conclusion
      • References
  • Appendices
    • Appendix A. Drug Appendix
      • Acetazolamide
      • Amantidine
      • Amphetamine
      • Aripiprazole
      • Atomoxetine
      • Baclofen
      • Baclofen; Intrathecal Pump
      • Benztropine
      • Botulinum Toxin
      • Carbamazepine
      • Carbidopa/Levodopa
      • Clonazepam
      • Clonidine
      • Clozapine
      • Coenzyme Q10
      • Creatine
      • Cyclophosphamide
      • Dantroline
      • Fluphenazine
      • Gabapentin
      • Guanfacine
      • Haloperidol
      • IVIG
      • Levetiracetam
      • Methylphenidate
      • Modafinil/Armodafinil
      • Olanzapine
      • Penicillamine
      • Pimozide
      • Piracetam
      • Pramipexole
      • Prednisone and Methylprednisolone
      • Pregabalin
      • Primidone
      • Propranolol
      • Quetiapine
      • Reserpine
      • Risperidone
      • Rituximab
      • Ropinirole
      • Sodium Oxybate
      • Tetrabenazine
      • Tetrathiomolybdate (TM)
      • Tizanidine
      • Topiramate
      • Trientine
      • Trihexyphenidyl
      • Valproic Acid
      • Zinc
      • Ziprasidone
      • Zonisamide
    • Appendix B. Search Strategy for Genetic Movement Disorders
      • Using OMIM to Aid in Diagnosis
      • Example 1 Advanced Search: OMIM
      • Example 2 Advanced Search: Clinical Synopsis
      • Example 3 Advanced Search: Gene Map Advanced Search
      • Next Steps after the OMIM search
      • Using Simulconsult to Aid in Diagnosis
      • Example 1 Simulconsult Search
      • Summary
    • Appendix C. Video Atlas
      • Chapter 6 Transient and Developmental Movement Disorders in Children
      • Chapter 7 Tics and Tourette Syndrome
      • Chapter 8 Motor Stereotypies
      • Chapter 9 Paroxysmal Dyskinesias
      • Chapter 10 Chorea, Athetosis, and Ballism
      • Chapter 11 Dystonia
      • Chapter 12 Myoclonus
      • Chapter 13 Tremor
      • Chapter 14 Ataxia
      • Chapter 15 Parkinsonism
      • Chapter 17 Inherited Metabolic Disorders with Associated Movement Abnormalities
      • Chapter 18 Movement Disorders in Autoimmune Diseases
      • Chapter 20 Cerebral Palsy
      • Chapter 22 Drug-Induced Movement Disorders
      • Chapter 23 Functional Movement Disorders
    • Index


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© Academic Press 2015
27th October 2015
Academic Press
Hardcover ISBN:
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About the Authors

Harvey Singer

Harvey S. Singer MD is currently Professor Emeritus at the Johns Hopkins University School of Medicine and active faculty member at the Kennedy Krieger Institute. He grew up in the Bronx and Long Island, went to college and medical school in Ohio (Oberlin College and Western Reserve Univ.), did his pediatric training in Chicago and Cleveland, and his pediatric neurology residency at the Johns Hopkins Hospital. After completing his training, Dr Singer remained on the active faculty at Hopkins for 45 years. He was Director of Pediatric Neurology from 1991 – 2011. He was the first recipient (2013) of the Child Neurology Society’s Blue Bird Circle Training Program Director Award and a Hower Award lecturer (2016). His clinical research interests include movement disorders, especially Tourette syndrome, stereotypic movements, and proposed autoimmune disorders. His translational research-oriented laboratory focuses on the neurobiology of stereotypic movements and tics. He has been the recipient of federal and private grants, authored numerous original articles, chapters, and three books. He enjoys biking, travel, visiting his five grandchildren, and work.

Affiliations and Expertise

Johns Hopkins University School of Medicine, Department of Neurology, and the Kennedy Krieger Institute, Baltimore, MD, USA

Jonathan Mink

Jonathan W. Mink is affiliated with the University of Rochester Medical Center, Department of Neurology, in Rochester, NY, United States.

Affiliations and Expertise

University of Rochester Medical Center, Department of Neurology, Rochester, NY, USA

Donald Gilbert

Donald Gilbert

Donald L. Gilbert, MD, earned his Bachelor of Arts at Princeton University, where he majored in philosophy. He subsequently earned his MD at the University of Michigan and spent a year at the National Institutes of Health as a Howard Hughes Medical Institute Research Scholar. Dr. Gilbert trained in pediatrics and pediatric neurology at Johns Hopkins in Baltimore and is board certified in neurology with special competence in child neurology. Dr. Gilbert has an MS in clinical research design and statistical analysis from the University of Michigan.

At Cincinnati Children's, Dr. Gilbert directs the Movement Disorders and Tourette Syndrome Clinics, which specializes in evaluation and pharmacologic treatment of tics, tremor, chorea, ataxia, dystonia, stereotypies, drug-induced movement disorders, paroxysmal movement disorders, and functional movement disorders Dr. Gilbert directs or participates in a number of single and multi-center studies into causes and treatments of Tourette syndrome and pediatric movement disorders. Dr. Gilbert also studies physiological mechanisms of motor control in Tourette Syndrome and Attention Deficit Hyperactivity Disorder in childhood at the Transcranial Magnetic Stimulation Laboratory at Cincinnati Children's.

Affiliations and Expertise

Division of Pediatrics, Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati; Cincinnati, OH, USA

Joseph Jankovic

Joseph Jankovic, M.D. is Professor of Neurology, Distinguished Chair in Movement Disorders, and Founder and Director of the Parkinson's Disease Center and Movement Disorders Clinic (PDCMDC), Department of Neurology, Baylor College of Medicine, Houston, Texas. After completing his Neurology training at Columbia University, New York City, he joined the faculty of Baylor College of Medicine in 1977. Since that time he has led clinical team that focuses on the most compassionate and expert care and research on etiology, pathophysiology, and experimental therapeutics of Parkinson’s disease and related neurodegenerative and movement disorders such as tremors, dystonia, Tourette syndrome, Huntington disease, restless legs syndrome, tardive dyskinesia, and paroxysmal dyskinesias. Under the direction of Dr. Jankovic the PDCMDC has been recognized as "Center of Excellence" by the Parkinson’s Foundation, the Huntington Disease Society of America, the Tourette Association of America, and the Wilson Disease Association. Past president of the International Parkinson and Movement Disorder Society and of the International Neurotoxin Association, Dr. Jankovic is the recipient of many awards including the American Academy of Neurology (AAN) Movement Disorders Research Award, First National Parkinson Foundation Distinguished Service Award, Huntington’s Disease Society of America Guthrie Family Humanitarian Award, Tourette Syndrome Association Lifetime Achievement Award, Dystonia Medical Research Foundation Distinguished Service Award, Benign Essential Blepharospasm Research Foundation Award, and Lifetime Achievement Award from the International Neurotoxin Association, Dr. Jankovic has been recognized as an Honorary Member of the American Neurological Association, Australian Association of Neurologists, French Neurological Society, and the International Parkinson’s Disease and Movement Disorders Society. Dr. Jankovic has published over 1,200 original articles and over 55 books, is included among “Highly Cited Researchers”, and has been ranked #1 expert in the world in movement disorders and in botulinum toxins ( He has served as the principal investigator in hundreds of clinical trials and his pioneering research on drugs for parkinsonian disorders and hyperkinetic movement disorders has led to their approval by the Food and Drug Administration. Certified by the American Board of Psychiatry and Neurology, Dr. Jankovic is a fellow of the AAN and current or past member of many scientific and medical advisory boards and has served on the executive scientific advisory boards of the Michael J. Fox Foundation for Parkinson’s Research and the National Parkinson Foundation. Dr. Jankovic has mentored numerous fellows and other trainees many of whom have become leaders in the field of neurology and movement disorders. For further information visit

Affiliations and Expertise

Baylor College of Medicine Medical Center, Parkinson's Disease Center and Movement Disorders Clinic, Houston, TX, USA


2016 BMA Medical Book Awards Highly Commended in Neurology


2016 BMA Medical Book Awards Highly Commended in Neurology

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