14: Movement Disorders

Question 1

Name some bradykinetic (akinetic rigid) disorders

Answer 1

1. Parkinson’s
2. Post-encephalitic Parkinsonism
3. Toxic induced Parkinsonism (Manganese, CO)
4. Drug-induced Parkinsonism (metoclopramide, haloperidol, MPTP)

Question 2

Three cardinal features of Parkinson’s disease***

Answer 2

1. Tremor: resting, pill rolling, sometimes of mouth or chin
2. Rigidity: cogwheel quality
3. Bradykinesia: slow movement, difficulty initiating movement

Question 3

How do anti-parkinsonian drugs do on other akinetic rigid syndromes? (PSP, MSA, CBD)

Answer 3

Little to no effect

Question 4

Athetosis

Answer 4

Writhing, sinuous movements

Question 5

Dystonia

Answer 5

Sustained muscle contractions that produce twisting and repetitive movements and abnormal postures

Question 6

Ballistic

Answer 6

Large flinging movements, usually from the proximal extremity

Question 7

Single motor tics

Answer 7

Can occur as a benign entity not related to Tourette’s

Question 8

Coprolalia

Answer 8

Vulgar speech in Tourette’s

Question 9

Echolalia and echoproxia

Answer 9

1. Echolalia: parroting speech of others

2 echoproxia: imitating other’s movements

Question 10

Palillalia

Answer 10

Repetition of words or phrases