Movement disorders Flashcards

1
Q

list features of hyperkinetic movement disorders

A
dystonia 
tics
myoclonus 
chorea 
tremor
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2
Q

list features of hypokinetic movement disorders

A

rigidity (hypertonic)
bradykinesia
ie Parkinsonism/PD

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3
Q

what is a tremor

A

involuntary movement in which there is rhythmicity

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4
Q

features of essential tremor

A

autosomal dominant

gets better with alcohol + B blockers

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5
Q

what types of tremor are there

A

resting tremor
postural tremor
intention tremor

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6
Q

what is resting tremor a sign of

A

Parkinsonism/PD

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7
Q

what is postural tremor a sign of

A
physiological 
essential 
caffeine
stress
salbutamol 
anxiety 
Na valproate
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8
Q

what is intention tremor a sign of

A

cerebellar disease

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9
Q

define chorea

A

brief irregular purposeless movements

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10
Q

causes of chorea

A
drugs - OCP
basal ganglia lesions
Sydenhams chorea 
Anti-phospholipid syndrome 
huntington's disease
Neuroacanthocytosis
Wilsons disease
SLE
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11
Q

what is sydenhams chorea

A

autoimmune condition

widespread chorieform movements after Group A B-haemolytic strep infection in children

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12
Q

what is neuroacanthocytosis

A

inherited disease

abnormal RBCs with neurological manifestations

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13
Q

define myoclonus

A

brief electric shock like jerks

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14
Q

define tics

A

“in”voluntary repetitive stereotypes movements or vocalisations
patient experiences anxiety and discomfort during tic suppression

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15
Q

define dystonia

A

sustained or intermittent muscle contractions causing abnormal, repetitive movements or postures

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16
Q

what is hemiballism and where is the damage

A

wild flinging/throwing movements of one arm/leg

cerebrovascular lesion to subthalamic nucleus