Jerks/ twitches resident survival guide: Difference between revisions

Revision as of 02:40, 10 November 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Moises Romo, M.D.

Synonyms and Keywords: jerks, twitches, abnormal movements, movement disorders, movement disorders approach

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of Abnormal movements according thee American Academy of Neurology guidelines:^[1]^[2]

Patient with movement disorders

Perform physical examination

Perform finger or foot tapping

Increased alternating movements

Progressive fatiguing and decrement of repetitive alternating movements

Hyperkinetic/non-rigid

Rigid

Jerky

Non-jerky

Akinetic

Hypokinetic

Bradykinetic

Sudden, brief, shock-like involuntary movements

Randomly flowing movements, which are, individually, jerky in nature

‘Stereotyped’ character of the recurrent movements

Involuntary, rhythmic and sinusoidal alternating movements of one or more body parts

Involuntary abnormal co-contraction of antagonistic muscles, which may cause sustained abnormal postures or twisting and repetitive movements

•Parkinsonism
•Juvenile parkinsonism
• Infectious
• Drugs
• Toxins
• Vascular
• Trauma
• Metabolic
• Corticobasal degeneration (CBD)
• Progressive Supranuclear Palsy (PSP)
• Multiple System Atrophy (MSA)
• Lewy Body Dementia (LBD)

Myoclonus

Chorea

Tics

Tremor

Dystonia

Parkinson's disease

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

The content in this section is in bullet points.

Don'ts

The content in this section is in bullet points.

References

↑ Flemming, Kelly D; Jones, Lyell K (2015). doi:10.1093/med/9780190244927.001.0001. Missing or empty |title= (help)
↑ Abdo, Wilson F.; van de Warrenburg, Bart P. C.; Burn, David J.; Quinn, Niall P.; Bloem, Bastiaan R. (2010). "The clinical approach to movement disorders". Nature Reviews Neurology. 6 (1): 29–37. doi:10.1038/nrneurol.2009.196. ISSN 1759-4758.

Template:WikiDoc Sources

[FlemmingJones2015-1] Flemming, Kelly D; Jones, Lyell K (2015). doi:10.1093/med/9780190244927.001.0001. Missing or empty |title= (help)

[Abdovan_de_Warrenburg2010-2] Abdo, Wilson F.; van de Warrenburg, Bart P. C.; Burn, David J.; Quinn, Niall P.; Bloem, Bastiaan R. (2010). "The clinical approach to movement disorders". Nature Reviews Neurology. 6 (1): 29–37. doi:10.1038/nrneurol.2009.196. ISSN 1759-4758.

[1]

[2]

@@ Line 21: / Line 21: @@
 ==Diagnosis==
-Shown below is an [[algorithm]] summarizing the [[diagnosis]] of [[Movement disorders|Abnormal movements]] according thee American Academy of Neurology guidelines:
+Shown below is an [[algorithm]] summarizing the [[diagnosis]] of [[Movement disorders|Abnormal movements]] according thee American Academy of Neurology guidelines:<ref name="FlemmingJones2015">{{cite journal|last1=Flemming|first1=Kelly D|last2=Jones|first2=Lyell K|year=2015|doi=10.1093/med/9780190244927.001.0001}}</ref><ref name="Abdovan de Warrenburg2010">{{cite journal|last1=Abdo|first1=Wilson F.|last2=van de Warrenburg|first2=Bart P. C.|last3=Burn|first3=David J.|last4=Quinn|first4=Niall P.|last5=Bloem|first5=Bastiaan R.|title=The clinical approach to movement disorders|journal=Nature Reviews Neurology|volume=6|issue=1|year=2010|pages=29–37|issn=1759-4758|doi=10.1038/nrneurol.2009.196}}</ref>
 {{familytree/start |summary=PE diagnosis Algorithm.}}
 {{Family tree | | | | | | | | | | | | | | | | | | | | | | | A01 | | | A01=Patient with movement disorders}}
+{{Family tree | | | | | | | | | | | | | | | | | | | | | | | |!| | | | |}}
+{{Family tree | | | | | | | | | | | | | | | | | | | | | | | A01 | | | | A01= Perform physical examination}}
 {{Family tree | | | | | | | | | | | | | | | | | | | | | | | |!| | | | |}}
 {{Family tree | | | | | | | | | | | | | | | | | | | | | | | A01 | | | | A01= Perform finger or foot tapping}}
@@ Line 33: / Line 35: @@
 {{Family tree | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | | | | | | A02 | | | | | A01=Hyperkinetic/non-rigid|A02=Rigid}}
 {{Family tree | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | |,|-|-|-|+|-|-|-|.| | |}}
-{{Family tree | | | | | A01 | | | | | | | | | | A02 | | | | | | | | | | | A03 | | A04 | | A05 |A01=Jerky|A02=Non-jerky|A03=Akinetic|A04=Hypokinetic|A05=Bradykinetic}}
+{{Family tree | | | | | A01 | | | | | | | | | | A02 | | | | | | | | | | | A03 | | A04 | | A05 |A01=Jerky |A02=Non-jerky |A03=Akinetic |A04=Hypokinetic |A05=Bradykinetic }}
 {{family tree | |,|-|-|-|+|-|-|-|.| | | | |,|-|-|^|-|-|.| | | | | | | | | | | | | |!| | | |}}
-{{Family tree | A01 | | A02 | | A03 | | | A04 | | | | A05 | | | | | | | | | | | | |!| | | | | |A01=Sudden, brief, shock-like involuntary movements|A02=Randomly flowing movements, which are, individually, jerky in nature|A03= ‘Stereotyped’ character of the recurrent movements|A04=Involuntary, rhythmic and sinusoidal alternating movements of one or more body parts|A05=Involuntary abnormal co-contraction of antagonistic muscles, which may cause sustained abnormal postures or twisting and repetitive movements}}
+{{Family tree | A01 | | A02 | | A03 | | | A04 | | | | A05 | | | | | | | | |`|-|-| A06 |-|-|'| | |A01=Sudden, brief, shock-like involuntary movements|A02=Randomly flowing movements, which are, individually, jerky in nature|A03= ‘Stereotyped’ character of the recurrent movements|A04=Involuntary, rhythmic and sinusoidal alternating movements of one or more body parts|A05=Involuntary abnormal co-contraction of antagonistic muscles, which may cause sustained abnormal postures or twisting and repetitive movements |A06=•Parkinsonism<br>•Juvenile parkinsonism<br>• Infectious<br>• Drugs<br>• Toxins<br>• Vascular<br>• Trauma<br>• Metabolic<br>• Corticobasal degeneration (CBD)<br>• Progressive Supranuclear Palsy (PSP)<br>• Multiple System Atrophy (MSA)<br>• Lewy Body Dementia (LBD) }}
 {{Family tree | |!| | | |!| | | |!| | | | |!| | | | | |!| | | | | | | | | | | | | |!| }}
-{{Family tree | A01 | | A02 | | A03 | | | A04 | | | | A05 | | | | | | | | | | | | |!| | | | | |A01=Myoclonus |A02=Chorea |A03=Tics |A04=Tremor |A05=Dystonia }}
+{{Family tree | A01 | | A02 | | A03 | | | A04 | | | | A05 | | | | | | | | | | | | A06 | | | | | |A01=Myoclonus |A02=Chorea |A03=Tics |A04=Tremor |A05=Dystonia |A06=Parkinson's disease}}
 {{familytree/end}}
 ==Treatment==