Lecture 15: Movement Disorders Flashcards

1
Q

What kind of tremor do patients with Parkinson’s Disease initially present with?

A

Unilateral resting tremor - “pill-rolling” quality

*TRAPS

T = tremor at rest

R = rigidity

A = akinesia and bradykinesia

P = postural instability

S = shufflng gait

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2
Q

Although findings are similar to PD, what distinguishes Progressive Supranuclear Palsy (PSP)?

A

Loss of voluntary control of eye movements (especially VERTICAL gaze)

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3
Q

Although findings are similar to PD, what distinguishes Multiple Systems Atrophy (MSA)?

A

Pronounced autonomic dysfunction

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4
Q

Although findings are similar to PD, what distinguishes Cortical Basal Degeneration (CBD)?

A
  • Cortical and ganglionic dysf.
  • May see cortical sensory loss, apraxia, myoclonus or aphasia
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5
Q

Sustained muscle contraction that produce twisting and repetitive movements and abnormal postures; often stuck in torticollis, defines what?

A

Dystonia

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6
Q

Chorea vs. Athetosis?

A
  • Chorea = irregular, brief, “dancelike movements;” may be incorporated into puposeful movements
  • Athetosis = writhing (snake-like), sinous movements (often occur in combo w/ chorea)
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7
Q

Who is most often affected by Sydenham’s Chorea?

Why does it occur?

Characterized by?

A
  • Mainly children/adolescents as complication of previous strep infection
  • Unilateral choreiform movements
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8
Q

What is the treatment of choice for someone with Focal Torsion Dystonia?

A

BOTOX

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9
Q

Wilson’s disease is a disorder of ________ metabolism that produces ______ and _______ dysfunction

A

Wilson disease is a disorder of copper metabolism that produces neurologic and HEPATIC dysfunction

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10
Q

Who is most often affected by Wilson’s Disease?

A

Children and young adults

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11
Q

Which disease have both bradykinetic and hyperkinetic movements?

A

Wilson’s Disease

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12
Q

What is the clinical presentation of Essential Tremor (aka Benign Familial Tremor)?

How does it progress?

A
  • Postural or kinetic tremor (induced by movement) of both hands and may involve head or voice
  • Can begin in early adulthood, and usually progresses slowly over years to decades
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13
Q

Drug induced Parkinson’s will present with what kind of finding different from idiopathic?

A

Bilateral tremor/findings

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14
Q

Which movement disorder is characterized by hypophonia (soft voice), masked facies, decreased frequency of eye blink, and a Myerson’s sign?

A

Idiopathic Parkinson’s Disease (the classic/most common)

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15
Q

Which disease is characterized by unexplained periods of markedly increased confusion that last days to week and closely mimic delirium?

A

Lewy Body Disease

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