David Charles (physician)
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David Charles (physician)
David Charles is an American neurologist, professor and vice-chair of neurology, and the medical director of Telehealth at Vanderbilt University Medical Center. Education David Charles attended Vanderbilt University School of Medicine, graduating in 1990. After completing his neurology residency at Vanderbilt University Medical Center, he joined the faculty of the Department of Neurology at Vanderbilt University in 1994. In 1995, he obtained his fellowship in Movement Disorders and Clinical Neurophysiology. In 1996, he completed the Health Care Management Program from the Owen Graduate School of Management. In January and May 1997, he completed Harvard Macy Institute's Program for Physician Educators, and in 1998, he studied deep brain stimulation, and its use as a treatment of Parkinson's disease as a Fulbright Senior Scholar at the Universitaire de Grenoble in Grenoble, France. Professional activities Charles is president of the Clinical Neurological Society of America, co-cha ...
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Decatur, Alabama
Decatur (dɪˈkeɪtə(r)) is the largest city and county seat of Morgan County (with a portion also in Limestone County) in the U.S. state of Alabama. Nicknamed "The River City", it is located in northern Alabama on the banks of Wheeler Lake, along the Tennessee River. The population in 2020 was 57,938. Decatur is the core city of the two-county large Decatur metropolitan area, which had an estimated population of 156,494 in 2020. Combined with the Huntsville Metropolitan Area, the two create the Huntsville-Decatur Combined Statistical Area, of which Decatur is the second-largest city. Like many southern cities in the early 19th century, Decatur's early success was based upon its location along a river. Railroad routes and boating traffic pushed the city to the front of North Alabama's economic atmosphere. The city rapidly grew into a large economic center within the Tennessee Valley and was a hub for travelers and cargo between Nashville and Mobile, as well as Chattanoog ...
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Movement Disorders
Movement disorder refers to any clinical syndrome with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity. Movement disorders are synonymous with basal ganglia or extrapyramidal diseases. Movement disorders are conventionally divided into two major categories- ''hyperkinetic'' and ''hypokinetic''. Hyperkinetic movement disorders refer to dyskinesia, or excessive, often repetitive, involuntary movements that intrude upon the normal flow of motor activity. Hypokinetic movement disorders refer to akinesia (lack of movement), hypokinesia (reduced amplitude of movements), bradykinesia (slow movement), and rigidity. In primary movement disorders, the abnormal movement is the primary manifestation of the disorder. In secondary movement disorders, the abnormal movement is a manifestation of another systemic or neurological disorder. Classification Diagnosis Step I : Decide the dominant type of movement disorder S ...
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Vanderbilt University Faculty
Vanderbilt may refer to: People *Vanderbilt (surname) *Vanderbilt family Places In the United States: *Vanderbilt, California, a former gold-mining town *Vanderbilt, Michigan, a village * Vanderbilt, Nevada, a ghost town * Vanderbilt Mansion National Historic Site, Hyde Park, NY * Vanderbilt, Texas, a census-designated place *Vanderbilt, Pennsylvania, a borough *Vanderbilt Avenue, three New York City streets *Vanderbilt University, a private research university in Nashville, Tennessee, USA **Vanderbilt Commodores, the athletics program of Vanderbilt University *Vanderbilt Museum, in Centerport, New York, built with a bequest from William Kissam Vanderbilt II Other uses * One Vanderbilt, a skyscraper in New York City *Vanderbilt Club, a bidding system in the game of contract bridge, devised by Harold S. Vanderbilt *Vanderbilt Cup, in American auto racing * George Vanderbilt Sumatran Expedition *Vanderbilt Mortgage and Finance, specializes in mortgages for manufactured homes *Vande ...
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Harvard Medical School Alumni
Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher learning in the United States and one of the most prestigious and highly ranked universities in the world. The university is composed of ten academic faculties plus Harvard Radcliffe Institute. The Faculty of Arts and Sciences offers study in a wide range of undergraduate and graduate academic disciplines, and other faculties offer only graduate degrees, including professional degrees. Harvard has three main campuses: the Cambridge campus centered on Harvard Yard; an adjoining campus immediately across Charles River in the Allston neighborhood of Boston; and the medical campus in Boston's Longwood Medical Area. Harvard's endowment is valued at $50.9 billion, making it the wealthiest academic institution in the world. Endowment inco ...
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Vanderbilt University School Of Medicine Alumni
Vanderbilt may refer to: People *Vanderbilt (surname) *Vanderbilt family Places In the United States: *Vanderbilt, California, a former gold-mining town *Vanderbilt, Michigan, a village * Vanderbilt, Nevada, a ghost town * Vanderbilt Mansion National Historic Site, Hyde Park, NY *Vanderbilt, Texas, a census-designated place *Vanderbilt, Pennsylvania, a borough *Vanderbilt Avenue, three New York City streets *Vanderbilt University, a private research university in Nashville, Tennessee, USA **Vanderbilt Commodores, the athletics program of Vanderbilt University *Vanderbilt Museum, in Centerport, New York, built with a bequest from William Kissam Vanderbilt II Other uses *One Vanderbilt, a skyscraper in New York City *Vanderbilt Club, a bidding system in the game of contract bridge, devised by Harold S. Vanderbilt *Vanderbilt Cup, in American auto racing *George Vanderbilt Sumatran Expedition *Vanderbilt Mortgage and Finance, specializes in mortgages for manufactured homes *Vanderbi ...
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Physicians From Alabama
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases and their treatment—the ''science'' of medicine—and also a decent competence in its applied practice—the art or ''craft'' of medicine. Both the role of the physician and the meaning ...
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People From Decatur, Alabama
A person ( : people) is a being that has certain capacities or attributes such as reason, morality, consciousness or self-consciousness, and being a part of a culturally established form of social relations such as kinship, ownership of property, or legal responsibility. The defining features of personhood and, consequently, what makes a person count as a person, differ widely among cultures and contexts. In addition to the question of personhood, of what makes a being count as a person to begin with, there are further questions about personal identity and self: both about what makes any particular person that particular person instead of another, and about what makes a person at one time the same person as they were or will be at another time despite any intervening changes. The plural form "people" is often used to refer to an entire nation or ethnic group (as in "a people"), and this was the original meaning of the word; it subsequently acquired its use as a plural form of per ...
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Deep Brain Stimulation
Deep brain stimulation (DBS) is a neurosurgical procedure involving the placement of a medical device called a neurostimulator, which sends electrical impulses, through implanted electrodes, to specific targets in the brain (the brain nucleus) for the treatment of movement disorders, including Parkinson's disease, essential tremor, dystonia, and other conditions such as obsessive-compulsive disorder (OCD) and epilepsy. While its underlying principles and mechanisms are not fully understood, DBS directly changes brain activity in a controlled manner. DBS has been approved by the Food and Drug Administration as a treatment for essential tremor and Parkinson's disease (PD) since 1997. DBS was approved for dystonia in 2003, obsessive–compulsive disorder (OCD) in 2009, and epilepsy in 2018. DBS has been studied in clinical trials as a potential treatment for chronic pain for various affective disorders, including major depression. It is one of few neurosurgical procedures that ...
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Botulinum Toxin
Botulinum toxin, or botulinum neurotoxin (BoNT), is a neurotoxic protein produced by the bacterium ''Clostridium botulinum'' and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction, thus causing flaccid paralysis. The toxin causes the disease botulism. The toxin is also used commercially for medical and cosmetic purposes. The seven main types of botulinum toxin are named types A to G (A, B, C1, C2, D, E, F and G). New types are occasionally found. Types A and B are capable of causing disease in humans, and are also used commercially and medically. Types C–G are less common; types E and F can cause disease in humans, while the other types cause disease in other animals. Botulinum toxins are among the most potent toxins known. Intoxication can occur naturally as a result of either wound or intestinal infection or by ingesting formed toxin in food. The estimated human lethal dose of type A toxin is 1.3 ...
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Spasticity
Spasticity () is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles. Clinically, spasticity results from the loss of inhibition of motor neurons, causing excessive velocity-dependent muscle contraction. This ultimately leads to hyperreflexia, an exaggerated deep tendon reflex. Spasticity is often treated with the drug baclofen, which acts as an agonist at GABA receptors, which are inhibitory. Spastic cerebral palsy is the most common form of cerebral palsy, which is a group of permanent movement problems that do not get worse over time. GABA's inhibitory actions contribute to baclofen's efficacy as an anti-spasticity agent. Cause Spasticity mostly occurs in disorders of the central nervous system (CNS) affecting the upper motor neurons in the form of a lesion, such as spastic diplegia, or upper motor neu ...
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Tremor
A tremor is an involuntary, somewhat rhythmic, muscle contraction and relaxation involving oscillations or twitching movements of one or more body parts. It is the most common of all involuntary movements and can affect the hands, arms, eyes, face, head, vocal folds, trunk, and legs. Most tremors occur in the hands. In some people, a tremor is a symptom of another neurological disorder. A very common tremor is the teeth chattering, usually induced by cold temperatures or by fear. Types Tremor is most commonly classified by clinical features and cause or origin. Some of the better-known forms of tremor, with their symptoms, include the following: * Cerebellar tremor (also known as intention tremor) is a slow, broad tremor of the extremities that occurs at the end of a purposeful movement, such as trying to press a button or touching a finger to the tip of one's nose. Cerebellar tremor is caused by lesions in or damage to the cerebellum resulting from stroke, tumor, or disease such ...
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Cervical Dystonia
Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition is also referred to as "cervical dystonia". Both agonist and antagonist muscles contract simultaneously during dystonic movement. Causes of the disorder are predominantly idiopathic. A small number of patients develop the disorder as a result of another disorder or disease. Most patients first experience symptoms midlife. The most common treatment for spasmodic torticollis is the use of botulinum toxin type A. Signs and symptoms Initial symptoms of spasmodic torticollis are usually mild. Some feel an invisible tremor of their head for a few months at onset. Then the head may turn, pull or tilt in jerky movements, or sustain a prolonged position involuntarily. Over time, the involuntary spasm of the neck muscles will increase in frequency and strength until it reaches a plateau. Symptoms can also wor ...
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