Clinical Management of Movement Disorders (Second Edition)

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 1823

Special Issue Editor


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Guest Editor
Neurology Unit, Campus Bio-Medico University Hospital Foundation, Via Álvaro del Portillo 200, 00128 Rome, Italy
Interests: Parkinson’s disease; tremor; dystonia; hyperkinetic movement disorders; ataxia; kinematic analysis; gait analysis; machine learning; adaptive therapy; telemonitoring
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Special Issue Information

Dear Colleagues,

After the success of the Special Issue “Clinical Management of Movement Disorders”, this second edition aims to collect high-quality reviews, meta-analyses, and original articles with a potential impact on the clinical management of movement disorders. The Special Issue focuses on all aspects of clinical management, from relevant diagnostic techniques through to disease progression, symptom monitoring tools, and treatments. Advanced new technologies for personalized therapeutics are also welcome, along with classic overviews on phenomenology, investigative, translational, and treatment aspects.

Dr. Lazzaro di Biase
Guest Editor

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Keywords

  • Parkinson’s disease
  • parkinsonism
  • tremor
  • tic
  • dystonia
  • chorea
  • athetosis
  • ballism
  • myoclonus
  • ataxia
  • diagnosis
  • symptom monitoring
  • treatments

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Published Papers (2 papers)

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Review

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33 pages, 5357 KiB  
Review
Biochemical Sensors for Personalized Therapy in Parkinson’s Disease: Where We Stand
by Davide Ciarrocchi, Pasquale Maria Pecoraro, Alessandro Zompanti, Giorgio Pennazza, Marco Santonico and Lazzaro di Biase
J. Clin. Med. 2024, 13(23), 7458; https://doi.org/10.3390/jcm13237458 - 7 Dec 2024
Viewed by 1147
Abstract
Since its first introduction, levodopa has remained the cornerstone treatment for Parkinson’s disease. However, as the disease advances, the therapeutic window for levodopa narrows, leading to motor complications like fluctuations and dyskinesias. Clinicians face challenges in optimizing daily therapeutic regimens, particularly in advanced [...] Read more.
Since its first introduction, levodopa has remained the cornerstone treatment for Parkinson’s disease. However, as the disease advances, the therapeutic window for levodopa narrows, leading to motor complications like fluctuations and dyskinesias. Clinicians face challenges in optimizing daily therapeutic regimens, particularly in advanced stages, due to the lack of quantitative biomarkers for continuous motor monitoring. Biochemical sensing of levodopa offers a promising approach for real-time therapeutic feedback, potentially sustaining an optimal motor state throughout the day. These sensors vary in invasiveness, encompassing techniques like microdialysis, electrochemical non-enzymatic sensing, and enzymatic approaches. Electrochemical sensing, including wearable solutions that utilize reverse iontophoresis and microneedles, is notable for its potential in non-invasive or minimally invasive monitoring. Point-of-care devices and standard electrochemical cells demonstrate superior performance compared to wearable solutions; however, this comes at the cost of wearability. As a result, they are better suited for clinical use. The integration of nanomaterials such as carbon nanotubes, metal–organic frameworks, and graphene has significantly enhanced sensor sensitivity, selectivity, and detection performance. This framework paves the way for accurate, continuous monitoring of levodopa and its metabolites in biofluids such as sweat and interstitial fluid, aiding real-time motor performance assessment in Parkinson’s disease. This review highlights recent advancements in biochemical sensing for levodopa and catecholamine monitoring, exploring emerging technologies and their potential role in developing closed-loop therapy for Parkinson’s disease. Full article
(This article belongs to the Special Issue Clinical Management of Movement Disorders (Second Edition))
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7 pages, 563 KiB  
Brief Report
The Significance of High-Density Lipoprotein-Derived Inflammatory Parameters in Atypical Parkinsonisms—Pilot Study
by Piotr Alster, Bartosz Migda and Natalia Madetko-Alster
J. Clin. Med. 2025, 14(7), 2212; https://doi.org/10.3390/jcm14072212 - 24 Mar 2025
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Abstract
Background/Objectives: Atypical parkinsonisms are a group of diseases with significant obstacles in the context of efficient methods of examination and understanding pathomechanisms. This is associated with the overlaps in clinical manifestation. One of the hypotheses regarding the mechanism leading to neurodegeneration in this [...] Read more.
Background/Objectives: Atypical parkinsonisms are a group of diseases with significant obstacles in the context of efficient methods of examination and understanding pathomechanisms. This is associated with the overlaps in clinical manifestation. One of the hypotheses regarding the mechanism leading to neurodegeneration in this group is related to inflammation. Methods: Authors examined 18 patients with Multiple System Atrophy—Parkinsonism Predominant (MSA-P), 15 with Progressive Supranuclear Palsy—Richardson’s Syndrome (PSP-RS) and 15 with PSP—Parkinsonism Predominant (PSP-P) (disease duration: 3–6 years) using neutrophil-to-lymphocyte-ratio, platelet-to-lymphocyte ratio and high-density lipoprotein (HDL)-derived inflammatory ratios, e.g., neutrophil to high-density lipoprotein cholesterol ratio (NHR), lymphocyte to high-density lipoprotein cholesterol ratio (LHR) and platelet to high-density lipoprotein cholesterol ratio (PHR). The potential differences between the groups were examined using one-way ANOVA, with Tukey’s HSD test. Results: The comparison revealed significant differences between PSP-RS and MSA-P in NHR (p = 0.0224). The levels of the parameters were more increased in MSA-P. No other significant differences were found. Conclusions: The possible significance of HDL in the context of brain–blood barrier permeability is a repeatedly highlighted feature of neurodegenerative diseases. The outcome of this pilot study may suggest that the evaluation of inflammatory processes should be performed with the indication of subtypes of PSP, as the character of pathomechanisms likely differs. Full article
(This article belongs to the Special Issue Clinical Management of Movement Disorders (Second Edition))
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