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movement disorder
Etiology:
- hypokinetic
- parkinsonism
- hyperkinetic
- tremor
- dystonia
- chorea
- hemiballismus
- athetosis
- tic
- myoclonus
- akasthesia
- pschogenic
Clinical manifestations:
- voluntary movements
- speed, amplitude & fatigability
- hyperkinetic movements
- rhythm, suppression, randomness, direction
Differential diagnosis:
- parkinsonism (see parkinsonism)
- Parkinson's disease
- drug-induced parkinsonism
- multiple system atrophy
- progressive supranuclear palsy
- diffuse Lewy body disease
- small vessel ischemic disease
- Binswanger's disease
- normal pressure hydrocephalus
- essential tremor
- tardive dyskinesia
- restless legs syndrome
- periodic limb movement disorder
- corticobasal degeneration
- cerebellar ataxia
- spinocerebellar atoxia
- peripheral neuropathy
- degenerative spine disease & spinal metastases
- de novo psychogenic movement disorders
Notes:
- clinical examination by movement disorders expert best method for making diagnosis [4]
Related
involuntary movement
Specific
akathisia
ataxia; dyssynergia
athetosis
bradykinesia
chorea
drug-induced movement disorder
dyskinesia
dysmetria
dystonia
eye movement disorder
faciobrachial dystonic seizure
hyperkinesia
hypnic jerk; hypnagogic jerk; sleep start; sleep twitch; night start
myoclonus
parkinsonism
psychogenic movement disorder; psychomotor disorder
sleep-related movement disorder
tardive syndrome
tic disorder
tremor
General
chronic neurologic disease
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 17, 18, 19.
American College of Physicians, Philadelphia 1998, 2015, 2018, 2021.
- Medical Knowledge Self Assessment Program (MKSAP) 19
Board Basics. An Enhancement to MKSAP19.
American College of Physicians, Philadelphia 2022
- Jankovic J
Treatment of hyperkinetic movement disorders.
Lancet Neurol. 2009 Sep;8(9):844-56
PMID: 19679276
- Merlino G, Gigli GL.
Sleep-related movement disorders.
Neurol Sci. 2012 Jun;33(3):491-513.
PMID: 22203333
- van der Salm SM, van Rootselaar AF, Cath DC et al.
Clinical decision-making in functional and hyperkinetic movement
disorders.
Neurology 2017 Jan 10; 88:118
PMID: 27913700
http://www.neurology.org/content/88/2/118
- Apetauerova D, Patel PA, Burns JD, et al.
Movement disorder emergencies.
Neurol Clin. 2021;39:615-630.
PMID: 33896535
- National Institure on Agning
Movement Disorders and Problems
https://www.nia.nih.gov/health/topics/movement-disorders-and-problems