Shared Flashcard Set

Details

Parkinson disease and Basal Ganglia Disorders
Test 5 Sem 2
22
Medical
Graduate
03/07/2011

Additional Medical Flashcards

 


 

Cards

Term
What area of the brain do most movement disorders originate?
Definition
basal ganglia
Term
What is the most common movement associated with parkinson's?
Definition
pill-roll tremor
Term
What is the pneumonic for symptoms of parkinson's?
Definition
A-akinesia/bradykinesia
R-Rigidity
T-Tremor
P-Postural instability - late sign
Term
What are some non-motor symptoms of Parkinson's? (4)
Definition
1) disturbances in cognition, mood, sensation, autonomic function
2) Dementia
3) Depression
4) Sleep disorder
Term
What are the major determinants in the choice of initial therapy? (4)
Definition
1) age
2) dementia
3) polypharmacy
4) cost
Term
What is the mainstay of pharmacotherapy for parkinson's? What SE develops in 5 years?
Definition
carbidopa-levodopa, dyskensia
Term
What is the most common neuropsychiatric symptom found in 60%?
Definition
Depression-often difficult to diagnosis
Term
What is a common cause of secondary parkinson's?
Definition
Drug induced from long-term use of dopamine blockers
Term
40% of of parkinson's patients have evidence of what disease?
Definition
alzheimers
Term
What is the most common form of dyskinesia?
Definition
Chorea
Term
Chorea is often associated with what?
Definition
strep infections
Term
chorea movement is defined as what?
Definition
dance-like movement
Term
What is Huntington's disease and what type of movement is associated with it?
Definition
fatal autosomal dominant disorder - associated with chorea
Term
How is dystonia defined?
Definition
sustained involuntary muscle contractions, could be accompanied by coarse, dense, jerking tremor
Term
What are some common areas affected with dystonia?
Definition
1) eyelids (blepharospasm)
2) neck/shoulders (cervical dystonia)
3) Lower face/jaw (oromandibular dystonia)
4) larynx (spasmodic dysphonia)
Term
What can focused dystonia be corrected with?
Definition
botulism toxin
Term
54% of people with Wilson's disease present with what?
Definition
neurologic manifestations
Term
What is the most common neurologic manifestation of Wilson disease?
Definition
dysarthria (97%)
Term
Tics must be present for how long with Tourette syndrome and what is a frequent component?
Definition
tics present for 1 year
ADD is a frequent component
Term
How is myoclonus defined?
Definition
A sudden, brief, shocklike, involuntary jerk
Term
Acute drug-induced movement disorders are more common in whom?
Definition
young men taking lithium, CCB, and SSRIs
Term
What is the treatment of choice for chroeatic tardive dyskinesia?
Definition
Reserpine
Supporting users have an ad free experience!