Movement Disorders

Question 1

What are Akathitic Movments?

Answer 1

“unable to sit still”
feeling of inner, general restlessness that is relieved by moving about

-most common cause = iatrogenic

Question 2

What is Athetosis?

Answer 2

Describes a class of slow, writhing, continuous and involuntary movements.
Can affect any set of musculature, but usually the distal limbs

Question 3

What is Chorea?

Answer 3

involuntary, irregular, purposeless, nonrthymic, abrupt, rapid, unsustained movements that seem to flow from one body part to another
Unpredictable

ex: Huntingtons

Question 4

twisting movements that tend to be sustained

Answer 4

Dystonia

ex: cervical dystonia

Question 5

Sudden, shock-like involuntary movements caused by muscular contractions or inhibitions

Answer 5

Myoclonus

Question 6

Consist of abnormal movements and abnormal sounds
Vary in severity
Usually preceded by uncomfortable feeling or sensory urge that is relieved by carrying out the movement

Answer 6

Tic

Question 7

What are 4 criteria of Restless legs syndrome?

Answer 7

URGE mnemonic

U: Urge to move legs
R: Rest induces symptoms
G: Getting active brings relief
E: Evening and night make symptoms worse

Question 8

What is the Tx of restless leg syndrome?

Answer 8

Carbidopa/L-DOPA
ropinarole

Gabapentin, pregabalin

Question 9

What is a blood disorder that can cause restless leg syndrome?

Answer 9

Anemia - Iron + Folate deficiency

Question 10

What are Extrapyramidal symptoms?

Answer 10

1. Dystonia
2. Parkinsonism
3. Tardive Dyskinesia
4. Akathesia

Question 11

What are four components of Parkinson’s?

Answer 11

1. Resting tremor
2. Bradykinesia
3. rigidity
4. Gait/Postural Instability

Question 12

focal dystonia around the eyes which can result in rapid blinking or even sustained or forceful eye lid closure

Answer 12

Blepharospasm

Question 13

slowed thinking

Answer 13

Bradyphrenia

Question 14

fine persistent quivering or rippling of muscles

Answer 14

Myokimia

Question 15

occurrence of involuntary movements in one part of the face when there is voluntary movement is another part of the face

Answer 15

Synkinesis

Question 16

Chorea that tends to occur in children after a group A strep infection?

Answer 16

Sydenham’s chorea

Question 17

abnormal involuntary movements that occur in people who are taking medication such as antipsychotics. Most commonly occurring around the mouth.

Answer 17

Tardive Dyskinesia

Question 18

focal dystonia of the neck muscles in which there is a simultaneous contraction of opposing muscle groups causing the neck to twist, tilt, shift, and pull forwards or backwards

Answer 18

Torticollis