Movement Disorders Flashcards

1
Q

What is myoclonus?

A

brief electric shock-like jerks

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2
Q

What is dystonia?

A

abnormal posture of the affected body part

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3
Q

What is tremor?

A

rhythmic sinusoidal oscillation of a body part

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4
Q

How is tremor treated?

A

symptomatic - B blockers

deep brain stimulation in selected cases

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5
Q

when does torsion dystonia usually present?

A

childhood

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6
Q

Is torsion dystonia inherited?

A

sometimes - gene not highly penetrant

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7
Q

What movement disorders are classified as hyperkinetic?

A

chorea
tics
myoclonus

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8
Q

Which inherited disorder is commonly associated with chorea?

A

Huntington’s disease

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9
Q

What autoimmune conditions are associated with chorea?

A

SLE
Anti-phospholipid syndrome
coeliac

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10
Q

What important factor in histories must be obtained in patients with chorea?

A

family history

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11
Q

What treatment is given in chorea?

A

symptomatic treatment - terabenazine or dopamine antagonists

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12
Q

What age is Tourette’s likely to onset?

A

below 18 years

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13
Q

How is Tourette’s treated?

A

symptomatic for tics (clonidine)

psychotherapy (CBT)

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14
Q

What is seen in juvenile myoclonus epilepsy?

A

myoclonic jerks and generalised seizures

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15
Q

What causes jerks and seizures in JME?

A

alcohol

sleep deprivation

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16
Q

What characteristic EEG changes are seen in JME?

A

3-5Hz polyspike in wave pattern

17
Q

What medications are effective in treating JME?

A

sodium valproate

levetiracetam

18
Q

Which drug can aggravate JME?

A

carbamazepine