movement disorders Flashcards
bradykinesia
slow movements
hypomimia
facial masking
hypophonia
quiet speech
freezing
sudden involuntary arrest of movement
festination
sudden involuntary acceleration
micrographia
small handwriting
arm swing in parkinsons
decreases
cogwheeling
“ratcheting” of muscle tone
Side effects of sinemet
nausea, orthostatic hypotension, confusion, sleep disturbances
dyskinesias
extra movements
dystonias
Involuntary contraction of muscles
atypical parkinsonism
Parkinsonism not caused by PD, poor levodopa response
NPH
normal pressure hydrocephalus,
NPH symptoms
wet (incontinent), wobbly (walking problems), wacky (dementia)
Imaging of NPH
enlarged ventricles
treatment of NPH
VP shunt
myoclonus
Jerks- rapid irregular movements
Parkinsonism tremor
most at rest
essential tremor
most with movement
Treatments for essential tremor
propranolol, primidone
alcohol helps it
chorea
“dance”
tics
“urges”- semi-voluntary movements done to relive an urge
coprolalia
repetition of obscene phrases
echolalia
repetition of others words
palilalia
repetition of ones own words
treatment for restless leg syndrome
ferritin < 75 may improve with IV iron
pathology of huntingtons
caudate atrophy