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Unusual Movement Disorders 

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Date:  Wednesday, 05/15/13 05:00 PM - 10:00 PM
Unusual Movement Disorders
Marathon Symposium

May 15, 2013
5:00 pm - 10:00 pm

The Cincinnati Club

The review of complex movement disorder cases (emphasizing unusual presentations of common diseases or common presentations of rare diseases) with accompanying video segments allows for an understanding of these disorders, their manifestations, and their treatment well above the level provided by textbooks, usual curricula, or even from the traditional conference formats of description-only case presentations. The audience will have the opportunity to learn from the systematic analyses of each of these cases from experts in the field. The lessons thus acquired are expected to become enduring memories in the nurturing, collegial Video Rounds environment of this symposium. The format and scope of the conference is an interactive case-based video session, with accompanying diagnostic studies as appropriate.


In this Unusual Movement Disorders Marathon Symposium, each of 13 Case Presenters will highlight the features of a patient with a movement disorder about whom they learned never-forgotten lessons, which forever changed the way they thought about a disease or about a treatment.

This will truly be a Marathon, with short breaks strategically allocated to stretch out the faculty neurological resources while complying with everyone’s urological demands. Twelve cases will be presented in three 4-case blocks (1.5 hours each, approximately), with two 15-minute breaks. The thirteenth case will be up for grabs to the mind that remains nimble despite long grueling hours of phenomenological, etiological, and management debates.

Fuel: There will be a variety of chef-quality nutritional choices available until 9:00 PM, and non-stop supply of beverages (open bar) for as long as the marathon remains active in order to maintain brain lubrication. The Case Presenters and Discussants have been instructed to check their pulses and "pace themselves" in the midst of an event that will be, by design, busy with intellectual sparks.

Reward: The true gift to the audience will be witnessing clinical experts digest, in real time, a case about which they had no prior knowledge, and which they will navigate into the "proper neighborhood" (syndrome and differential diagnosis), and, when feasible, the "correct address" (final diagnosis). The Case Presenters were asked to select one case that challenged them substantially, and which became the source of everlasting lessons.


Alberto J. Espay, MD, MSc (University of Cincinnati, Cincinnati, OH) 


Anthony E. Lang, MD, FRCPC (University of Toronto, Canada)

Joseph Jankovic, MD (Baylor College of Medicine, Houston, TX)

Kapil Sethi, MD, FRCP (Medical College of Georgia, Augusta, GA)


For the first 12 cases, each Case Presenter will share the history and video examination of his/her case within 8 minutes. The Case Discussants will then summarize phenomenology, disease category, and conclude by listing the diagnostic tests of choice based on the most likely disease etiology. Each Case Presenter will then end with two slides focusing on (1) the major teaching points of the disease entity and (2) the "lessons learned". Each of the 13 cases will be tackled from presentation to discussion in less than 25 minutes.

The last case (13) will be presented in a Neurobowl format, with the award going to the Case Discussant that will first "shout" the correct diagnosis at any point during its presentation. No penalties will be given for incorrect answers so as to wrap up the marathon symposium with verbal fireworks!

  • Leo Verhagen, MD, PhD (Rush-Presbyterian, Chicago): "A young woman with a long history of shaking"
  • David Riley, MD (Case Western Reserve, Cleveland, OH): "An unusual progressive movement disorder"
  • Cindy Zadikoff, MD, MSc (Northwestern University, Chicago, IL): "A case of the bobble head"
  • Aparna Wagle-Shukla, MBBS, DNB, MD (University of Florida, Gainesville, FL): "Siblings with difficulty in walking and balance: New wine in old bottle"
  • Robert Rodnitzky, MD (University of Iowa, Iowa City): "A case of persistent falling with a mysterious MRI"
  • Shyamal Mehta, MD, PhD (Medical College of Georgia, Augusta, GA): "Losing the mind and then gaining it back!"
  • Daniel Tarsy, MD (Beth Israel Deaconess Medical Center, Boston, MA): "Two adult siblings: One with dystonic gait; one with parkinsonian gait."
  • Orlando Barsottini, MD, PhD (Universidade Federal de São Paulo, Brazil):
    "An incoordinated lady who could not calculate"
  • Renato Munhoz, MD, PhD (Federal University of Paraná, Curitiba, Brazil): "A no-no tremor with a positive MRI: A bipolar movement disorder"
  • Francesca Morgante, MD, PhD (University of Messina, Sicily, Italy): "The man who couldn't refrain from coughing"
  • Alfonso Fasano, MD, PhD (Catholic University of the Sacred Heart, Rome, Italy): "Late-onset levodopa-responsive SWEDD: a new entity?"
  • Mark Edwards, MD, PhD (Queen Square, London, UK): "Pisa in London: a bent spine"
  • Hector Gonzalez Usigli, MD (University of Guadalajara, Mexico): "Young woman with subacute ataxia"


Upon completion, participants should be able to recognize the value of increasing scrutiny and periodic reassessment of patients with a variety of movement disorders in order to redress earlier oversights, correct errors, and redirect a patient’s management. Participants should learn that important, though perhaps subtle features on exam or history enable such diagnostic revisions.

Recommended Audience: Neurologists, fellows, residents, nurses, medical students, academicians, clinical researchers

At one month prior to our grand phenomenology evening, we are rapidly approaching seating capacity.

Space is limited to 130 registrants. On-site registration will not be available
Fee: $75.00. Physicians in training (Fellows, Residents) and Medical Students: free

Fellow subsidies: a total of 8 travel subsidy grants have been approved for fellows on a first come-first served basis. Each will be in the amount of USD 500, to alleviate travel expenses and encourage fellows to attend this program.

The Cincinnati Club
30 Garfield Place
Cincinnati, OH 45202
TIME: 5 p.m. to 10 p.m.
CAPACITY: 130 attendees
Food and beverages will be served

Hotel reservation code: UCMO051513 – Group room rate valid until April 19.


This is a CME-accredited educational session. The University of Cincinnati designates this educational activity for a maximum of 5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credits commensurate with the extent of their participation in the activity. The University of Cincinnati is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Kelly Lyle, Program Manager, Gardner Family Center for Parkinson's Disease, University of Cincinnati: