Movement Disorders

Question 1

-Sudden, shock-like contractions (like jerk when falling asleep)
DDx: Withdrawl, uremia, metbaolic, anoxic brain injury, Jakob-Creutzfeldt dementia
Tx: Antivonvulsants, Benzos

Answer 1

Myoclonus

Question 2

-Ocular dystonic reaction. Blepharospams, periorbital twitches, protracted staring episodes.
-DDx: Side effect of neuroleptic Drugs
Tx: Stop causative agents, benadryl

Answer 2

Oculogyric Crisis

Question 3

-Stiff contorted neck
DDx: Cerebral palsy, MS, PD, tremor, tardive dyskinesia
Tx: botox

Answer 3

Torticollis

Question 4

Defect in abilty to perform voluntary mov’t. Any disorder characterized by unctonrolled involuntary mov’ts (tremor, chorea, dystonia, myoclonus, tics)

Answer 4

Dyskinesia

Question 5

Syndrome of involuntary stereotyped mov’ts of face, mouth, tongue, trunk and limbs (facial tics, jaw mov’ts, worm-like tongue mov’ts, difficulty sticking out tongue).
Can be caused by Long term use of anytipyschotics

Answer 5

Tardive Dyskinesia