Movement Disorders

Question 1

What are the features of Parkinsonism?

Answer 1

1. Bradykinesia (most important)
2. Tremor (pill-rolling, unilateral, fine tremor usually)
3. Rigidity

Question 2

What are the features in a history to suggest an essential tremor?

Answer 2

Bilateral
Coarse tremor
Worse on movement
Alcohol makes it better
Family history

Question 3

What tremor is worse at rest?

Answer 3

Parkinsonian tremor

Question 4

Which tremors become worse on movement?

Answer 4

1. Hyperthyroid
2. Exaggerated physiological tremor
3. Dystonic tremor
4. Drug induced
5. Essential tremor

Question 5

Give the most common intention tremor

Answer 5

Cerebellar disorder tremors

Question 6

What are some of the motor features of iPD?

Answer 6

1. Quiet voice (hypophonia)
2. Small handwriting (micrographia)
3. Stooped posture (camptocormia)
4. Reduced/absent arm swing on walking
5. Freezing
6. Festinant gait (difficulty in beginning to walk and then they are stooped, shuffling and walk fast)

Question 7

What is the incidence of PD?

Answer 7

10-20/100,000

Question 8

Which gender is more affected by PD?

Answer 8

Men