Rhythm Survey: Boehringer Ingelheim
Thank you for visiting the Rhythm online case studies.

The case studies will take a few minutes of your time to complete, and your answers will help us to develop content for the magazine that will be useful and relevant to your practice.

Please provide your contact information at the end of the case studies, and each correctly submitted entry will receive the book Depression and Parkinson’s Disease – Pathophysiology, Diagnosis, Treatment by Matthias R. Lemke and Jan Raethjen.

We value your privacy. This information will be used strictly for the purposes of shipping the complimentary gift. Your contact information will not be revealed to anyone.

All patients’ details included in the case studies will be strictly confidential.

The deadline for completing the case studies is January 31, 2010.


Case study
Based on your clinical experience and expertise, please fill in the form below detailing a Parkinson’s disease or Restless Leg Syndrome case study. The case study can be unique, involve innovative treatment, or be unusual in some way. The more interesting the better!

Please note all patient information will be treated in the strictest confidence.


1. Patient's initials:


2. Age:


3. Sex:


4. Medical history:

5. Clinical presentation:

6. Medications (history of/current):

7. Interventions undertaken to determine diagnosis/differentiate between diagnoses:

8. Diagnosis:

9. Treatments (pharmacological, surgical, etc.):

10. Comment:


Your contact details


Name:


Occupation:


Specialty:


Address:


Country:


Email:


Telephone number: