We’re thrilled to announce the first episode in our movement disorders & Parkinson’s disease series (also continuing our clinical method series), beginning with a discussion of how to perform an extrapyramidal examination, particularly in the context of suspected Parkinson’s disease, progressive supranuclear palsy (PSP), multiple system atrophy (MSA), corticobasal degeneration (CBD; or corticobasal syndrome, CBS), dementia with Lewy bodies (DLB) and normal pressure hydrocephalus (NPH), as well as assessing treatment responses to levodopa and other Parkinsonian therapies to distinguish an excessively ‘on’ or dyskinetic state, from a ‘good on’ state, from an ‘off’ state including a frozen state. As always in Riisfeldt Neurology Education, we provide a clinical focus to help contextualise the information, peppered with tips and tricks to optimise your examination techniques, and hopefully providing a structure to your learning, along with helpful mnemonics in order to aid memorisation. This episode is appropriate for medical students, junior doctors, physician and neurology trainees, and general practitioners (family doctors) and emergency physicians and their respective trainees, and any other health professional assessing patients presenting with extrapyramidal symptoms and signs or with a pre-established diagnosis such as Parkinson’s disease.

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