Pseudoathetosis

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	Pseudoathetosis;
DiseasesDB	30711

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.

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[pmid16817195-1] 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.

[2] 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.

[3] 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.

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