ECR Tremors and Involuntary Movements

Question 1

Tremors

Answer 1

relatively rhythmic oscillaotry movments, which may be roughly subtiviided into three groups

Question 2

3 groups of tremors

Answer 2

resting tremors (static)

Postural tremors

Intention Tremors

Question 3

Resting (static) tremors,
When are they most prominent?
When do they decrease?

Answer 3

most prominent at rest, may decrease or disappear with voluntary movement

common, relatively slow, fine, pill-rollign tremor of parkinsonism,

Question 4

What type of tremor is Parkinsonian? waht is rate

Answer 4

Resting (static) tremors

Question 5

What are Postural (Action) tremors . When do they appear

Answer 5

appear when the affected part is actively maintaining a posture

Question 6

Examples of postural (action) tremors

Answer 6

examples include fine rapid tremor for hyperthyroidism

tremors of anxiety and fatigue
benign essential (sometimes familial tremor)

tremor may worsen, somewhat with intention

Question 7

What are intention Tremors? when are they absent? when do they get worse

Answer 7

absent at rest

appear with activity

get worse as target is neared

Question 8

what is cause of Intention Tremor

Answer 8

disorders of cerebellar pathwyas,

Multiple Sclerosis (MS)

Question 9

What is Oral-Facial Dyskinesias

Answer 9

rhtymic, repetitive, bizarre movements that chiefly involve face, mouth, jaw, tongue

Question 10

what does patient do if they have oral-faical dyskinesis

Answer 10

grimacing, pursing of lips, prtrustion of tongue, opneigna dn closing of mouth, deviation of jaw

Question 11

cause of oral-facial dyskinesias

Answer 11

may be late complication of psychotropic drugs sucha s phenothiazines, (tardivee dyskinesias)

occur in long-stanidng psychoesies in some elderly indivudals, and in some edentulous persons

Question 12

Athetosis

Answer 12

athetoid moevemtns are slower and more twisting and writhign than chorifoemr movmvents, and ahve larger ampltiudes

most commonly invovle face and distal extremities

foten ass with spasticticy

Question 13

cause of athetoises

Answer 13

cerebral pasly

Question 14

What is Dystonia

Answer 14

similar ot athetoid movemetns, but invovle larger protions of the body, inclduign trunk

Groeque, twisted postures may results

Question 15

Cause of Dystonia

Answer 15

drugs such as phenothiazines, priamry torsion dystonia, and spasmodic torticollis

Question 16

What is Chorea

Answer 16

choreiform movments are brief, rapid, jerky, irregular, and unpredictable.

OCcur at rest or interrupt normal coordinated movments

Question 17

how ar different fro Chorea

Answer 17

unlike tics, they seldome repeat themselves.

The face, head, lower arms, and hands are often inovlved

Question 18

Cause of Chorea

Answer 18

Syndeham’s chorea (with rheumatic fever) and Hundtington’s disease