movement disorders Flashcards
Which tremor is classified by: intensifies by emotional stress, invovles hands, head, or both, no abnormalities, but relieved by alcohol.
benign essential tremor
IS treatment required for benign essential tumor?
no, can use propanolol for the disabling tremors.
If the tremor of benign essential tumor is refractive to medication, what can be done?
high frequency thalamic stimulation
What determines the presence of parkinsonism
any combination of tremor, rigidity, bradykinesia, progressive postural instability
can parkinsonism have cognitive impairment?
yes, they can have prominent impairment in some cases.
Is parkinsonism a progressive disease?
yes, it will onset 45-65 years of age.
What is spescial about the tremor of parkinsonism?
it will be enhanced at rest, and it will be worse with emotional stress and voluntary movements.
DO most parkinsonism tremors start localized, or genearlized?
they are more localized if there are any symptoms at all, then progressively become generalized
What is the most detrimental effect of parkinsonism
bradykinesia
Which disease is characterized by its early onset, kayser fleischer rings, abnormal movements, and chronic hepatitis?
wilsons disease
which condition involves genetic progressive chorea and dimentia?
huntington disease
which condition has parkinsonism features plus autonomic insufficiency like postural hypotension, ED. they could also have LMN signs
Shy Drager syndrome (multisystem atrophy)
which disorder has bradykinesia, rigidity with supranuclear disorder of eye movements and pyramidal signs?
progressive supranuclear palsy
What symptom do all parkinsons patients have?
bradykinesia and one other feature
IS parkinson disease equal on both sides of the body?
they will usually always have it worse on one side, then progressively it will transfer to the other side.
What are the 4 conditions of Parkinson’s disease?
tremor at rest ridigity akinesia/bradykinesia postural instability TRAP
How would you treat huntington’s disease?
cannot cure, decrease dyskinesias by giving dopamine agonist- haloperidol.
What condiiton will have a movement that appears, with no MRI findings or deficiencies. They will go through development normally, then the sx will appear?
idiopathic torsion dystonia
Focal torsion dystonia are what?
movements that happen in idiopathic.
What are some focal torsion dystonia movements?
spasmodic torticollis, blepharospasm, oromandibular sx, writers cramps
Which condition is described as desire to move the legs and discomfort until they are moved?
restless leg syndrome
What is the most common symptoms of gilles de la tourette syndrome?
motor tics
Before which age must tourettes present?
18
What is the only approved treatment for tourettes?
alpha adrenergic agonists.
What is an example of a hypokinetic diseases?
parkinson’s disease
What is an example of the hyperkinetic-
tremors and mild clonus
What are hypokinetic movements?
slow/ small movements that can involve stiffness or where feet freeze.
