Pseudoathetosis: Difference between revisions
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====Neurologic Examination==== | ====Neurologic Examination==== | ||
Analogous to [[Romberg's]] sign, the abnormal [[posturing]] is most pronounced when the eyes are closed as visual inputs are unavailable to guide corrective movements. Paradoxically, eye closure may decrease the amount of movement as the visual cues probably trigger corrective movements which return the limb to the desired "baseline" allowing a new phase of involuntary drift before a subsequent corrective phase occurs. | Analogous to [[Romberg's]] sign, the abnormal [[posturing]] is most pronounced when the eyes are closed as visual inputs are unavailable to guide corrective movements. Paradoxically, eye closure may decrease the amount of movement as the visual cues probably trigger corrective movements which return the limb to the desired "baseline" allowing a new phase of involuntary drift before a subsequent corrective phase occurs. | ||
[http://www.asktheneurologist.com/movement-disorders-lecture.html Hemipseudoathetosis video clip | [http://www.asktheneurologist.com/movement-disorders-lecture.html Hemipseudoathetosis video clip | ||
==References== | |||
{{Reflist|2}} | |||
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[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Needs patient information]] | [[Category:Needs patient information]] | ||
[[Category:Overview complete]] | [[Category:Overview complete]] | ||
[[Category:Disease | [[Category:Disease]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 17:37, 12 June 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pseudoathetosis is abnormal writhing movements, usually of the fingers, caused by a failure of joint position sense (proprioception)[1] and indicates disruption of the proprioceptive pathway, from peripheral nerve to parietal cortex.
Disorders that Pseudoathetosis Should be Differentiated From
Pseudoathetosis may be mistaken for choreoathetosis. In patients with choreoathetosis, the abnormal movements are relatively constant irrespective of whether the eyes are open or closed and occur in the absence of proprioceptive loss.
Hemipseudaoathetosis refers to pseudoathetosis on one side of the body ,usually the upper limb and is most commonly caused by a lesion affecting the cuneate tract or cuneate nucleus in the cervical spine or lower brainstem (medulla) respectively[2][3].
Diagnosis
Physical Examination
Neurologic Examination
Analogous to Romberg's sign, the abnormal posturing is most pronounced when the eyes are closed as visual inputs are unavailable to guide corrective movements. Paradoxically, eye closure may decrease the amount of movement as the visual cues probably trigger corrective movements which return the limb to the desired "baseline" allowing a new phase of involuntary drift before a subsequent corrective phase occurs. [http://www.asktheneurologist.com/movement-disorders-lecture.html Hemipseudoathetosis video clip
References
- ↑ Spitz M, Costa Machado AA, Carvalho Rdo C; et al. (2006). "Pseudoathetosis: report of three patients". Mov. Disord. 21 (9): 1520–2. doi:10.1002/mds.21014. PMID 16817195.
- ↑ Gotkine M, Gomori JM (2007). "Hemipseudoathetosis due to a hemorrhage at the cervicomedullary junction". Neurology. 69 (15): 1551. doi:10.1212/01.wnl.0000285506.04246.c2. PMID 17923617.
- ↑ Ghika J, Bogousslavsky J (1997). "Spinal pseudoathetosis: a rare, forgotten syndrome, with a review of old and recent descriptions". Neurology. 49 (2): 432–7. PMID 9270573.