Week 11 Flashcards

1
Q

What are the general classifications of hyperkinetic dysarthria?

A

Quick
Slow
Tremors

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2
Q

What does hyperkinetic dysarthria result from?

A

Failure of the extrapyramidal level to inhibit the extra impulses from the cortex

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3
Q

What are the types of quick hyperkinesias?

A

myoclonus
tics
chorea

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4
Q

What is the fastest hyperkinetic disorder?

A

myoclonus

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5
Q

How do you describe myoclonus?

A

Sudden, shock like contraction

involuntary (can be postponed but not suppresed)

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6
Q

Are myoclonus rhythmical?

A

No

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7
Q

Where can myoclonus happen?

A

Anywhere in the body

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8
Q

What is the etiology of myoclonus?

A
Idiopathic
Brain or spinal cord injury
Infection
Kidney or live failure
Lipid storage disease
Chemical or drug poisoning
Prolonged O2 deprivation
Medication reaction
Autoimmune inflammatory conditions
Metabolic disorders
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9
Q

When do palatal myoclonus typically stop?

A

During sleep

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10
Q

What quick hyperkinesias are slighly slower than myclonic jerks?

A

Tics (Gilles de la Tourette)

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11
Q

What is the etiology of tics?

A
Unknown
Genetic disorder
Nongenetic
Environmental
Postinfectious (ex. meningitis)
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12
Q

What are the types of tics

A

Simple phonic tics (noises)

Complex phonic tics (linguistically meaningful)

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13
Q

What are examples of simple phonic tics?

A
sniffing (most common)
blowing
squeaking
screaming
barking
grunting
coughing
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14
Q

What are examples of complex phonic tics?

A

coprolalia (cursing)
echolalia
palilalia
loud talking

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15
Q

What quick hyperkinesias are slightly slower than tics?

A

chorea

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16
Q

What are the most common types of chorea?

A

Sydenham’s chorea (childhood; infection, acute rheumatic fever) - can be treated/resolved

Huntington’s chorea (progressive genetic with dementia)

17
Q

How can you best describe chorea?

A

Involuntary
Dancelike
Erratic

18
Q

Each child has a ___ chance of inheriting the Huntington’s chorea gene if parent has it

A

50%

19
Q

What are the types of slow hyperkinesias?

A

athetosis

dystonia

20
Q

Etiology of athetosis?

A

Early onset

  • trauma
  • anoxia
  • neonatal jaundice

Later onset

  • encephalitis
  • stroke
  • tumor in basal ganglia
21
Q

How can you best describe athetosis?

A
Repetitive
Slow
Twisting
Writhing
Fluctuating tone