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Clinicopathological Conference Clinicopathological Conference CPC #7 CPC #7 Feb 26, 2008 Feb 26, 2008 The Johns Hopkins Hospital The Johns Hopkins Hospital Hurd Hall Hurd Hall 12 Noon 12 Noon Clinical Discussant: Zoltan Mari, MD Clinical Discussant: Zoltan Mari, MD Radiologist: Doris Lin, MD Radiologist: Doris Lin, MD Pathology Resident: Lisa Stoll, MD, MPH Pathology Resident: Lisa Stoll, MD, MPH Moderator: Charles Wiener, MD Moderator: Charles Wiener, MD Zoltan Mari, M.D. Zoltan Mari, M.D. Assistant Professor in Neurology Assistant Professor in Neurology Johns Hopkins University School of Medicine Johns Hopkins University School of Medicine

Clinicopathological Conference CPC #7 Feb 26, 2008 The Johns Hopkins Hospital Hurd Hall 12 Noon Clinical Discussant: Zoltan Mari, MD Radiologist: Doris

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Clinicopathological Conference Clinicopathological Conference CPC #7CPC #7

Feb 26, 2008Feb 26, 2008The Johns Hopkins HospitalThe Johns Hopkins Hospital

Hurd HallHurd Hall12 Noon12 Noon

Clinical Discussant: Zoltan Mari, MD Clinical Discussant: Zoltan Mari, MD Radiologist: Doris Lin, MDRadiologist: Doris Lin, MD

Pathology Resident: Lisa Stoll, MD, MPHPathology Resident: Lisa Stoll, MD, MPHModerator: Charles Wiener, MDModerator: Charles Wiener, MD

Zoltan Mari, M.D.Zoltan Mari, M.D.Assistant Professor in NeurologyAssistant Professor in Neurology

Johns Hopkins University School of MedicineJohns Hopkins University School of Medicine

My Contact InfoMy Contact Info

• Email: [email protected]: [email protected]

• Mail: 600 N. Wolfe Street, Meyer 6-119B, Mail: 600 N. Wolfe Street, Meyer 6-119B, Baltimore, MD 21287Baltimore, MD 21287

• Phone: 410-502-0133 (Rebecca Williams)Phone: 410-502-0133 (Rebecca Williams)

• Fax: 410-502-0570Fax: 410-502-0570• Web: Web: http://www.hopkinsneuro.org/movement%5Fdisorders/doc.cfm?i=136http://www.hopkinsneuro.org/movement%5Fdisorders/doc.cfm?i=136

OverviewOverview

• Patient PresentationPatient Presentation

• Differential DiagnosisDifferential Diagnosis

• Secondary Causes of ParkinsonismSecondary Causes of Parkinsonism

Patient PresentationPatient Presentation

• Chief Complaint: Unsteady GaitChief Complaint: Unsteady Gait

• HOPIHOPI

• Exam and WorkupExam and Workup

• Clinical CourseClinical Course

• SummarySummary

Differential DiagnosisDifferential Diagnosis

• ParkinsonismParkinsonism

• WeaknessWeakness– NeuronopathyNeuronopathy

– ALSALS

– LymeLyme

– NeurosyphilisNeurosyphilis

• Psychiatric IllnessPsychiatric Illness– CatatoniaCatatonia

– DepressionDepression

– Conversion disorderConversion disorder

• AtaxiaAtaxia

• DemyelinationDemyelination

Secondary Causes of ParkinsonismSecondary Causes of Parkinsonism

• Drug-Induced ParkinsonismDrug-Induced Parkinsonism

• Toxic ParkinsonismToxic Parkinsonism

• Parkinsonism due to Structural LesionsParkinsonism due to Structural Lesions

• Infectious ParkinsonismInfectious Parkinsonism

• Metabolic ParkinsonismMetabolic Parkinsonism

• Post-Traumatic ParkinsonismPost-Traumatic Parkinsonism