... Athetosis is an involuntary, smooth, sinuous, writhing movement of the upper limbs and, less commonly, the face and lower extremity. The pill-rolling of Parkinson's disease is an example. Athetosis is due to a lesion of the basal ganglia. It may be the result of cerebral palsy,... DIAGNOSTIC WORKUP
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What is the patient's age? Children are likely to develop Sydenham's chorea, Tourette's syndrome, or Wilson's disease. Huntington's chorea and senile chorea usually occur in adults.
Is there associated ... DIAGNOSTIC WORKUP
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Chorea (Greek for “dance”) refers to continuous, rapid, and abrupt jerking movements, which are involuntary and often possess a writhing quality. These movements often interfere with the ability to complete daily activities. A characteristic feature is an inability to... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Chorea consists of brief, irregular, nonrhythmic, unsustained involuntary movements that flow from one part of the body to another. Chorea is often accompanied by athetosis, which are slow, writhing, involuntary movements. These movement disorders are thought to result from... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The causes of this symptom lend themselves easily to recall. Simply remember the word VINDICATE. There are usually just one or two diseases for each letter.
V—Vascular suggests an infarct of the subthalamic nucleus, which produces hemiballism.
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... Hereditary diseases, especially
Wilson's disease
Huntington's disease
Neuroacanthocytosis
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... Chorea—brief, unpredictable bursts of rapid, jerky motion that interrupt normal coordinated movement—indicates dysfunction of the extrapyramidal system. Unlike tics, choreiform movements are seldom repetitive but tend to appear purposeful... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Athetosis, an extrapyramidal sign, is characterized by slow, continuous, and twisting involuntary movements. Typically, these movements involve the face, neck, and distal extremities, such as the forearm, wrist, and hand. Facial grimaces, jaw... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Chorea — brief, unpredictable bursts of rapid, jerky motion that interrupt normal coordinated movement — indicates dysfunction of the extrapyramidal system. Unlike tics, choreiform movements are seldom repetitive but tend to appear purposeful... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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The causes of this symptom lend themselves easily to recall. Simply
remember the word VINDICATE. There are usually just one or two
diseases for each letter.
V—Vascular suggests an infarction of the subthalamic nucleus, which
produces
... READ EXCERPTS »