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Such contractile movements include dystonia, chorea, athetosis, and ballism. For example, “Her attacks were characterized as sudden unilateral stiffness of upper and lower limbs followed by an involuntary extrarotation of the arm and leg.” [ 3 ] Another frequently occurring symptom is the presence of an aura before the attack.
Hereditary chorea. Chorea, or (rarely) choreia, (/ k ə ˈ r i ə /) is an abnormal involuntary movement disorder, characterized by quick movements of the hands or feet.It is one of a group of neurological disorders called dyskinesias.
The age at onset is between 1 and 20 years old. The attacks of involuntary movements last less than one minute and have a known trigger, usually a sudden voluntary movement. For example, if a PKD patient stands up or begins walking after being sedentary for a period of time, or a person goes from a walk to a run, it can trigger an attack.
Chorea (rapid, involuntary movement) Drug induced chorea: G25.4 Drug-induced tics and tics of organic origin 333.3 G25.6 Paroxysmal nocturnal limb movement G25.80 Painful legs (or arms), moving toes (or fingers) syndrome G25.81 Sporadic restless leg syndrome: G25.82 Familial restless leg syndrome G25.83 Stiff-person syndrome: 333.91 G25.84
Athetosis is a commonly occurring symptom in the disease cerebral palsy. [14] Of all people with the disease, between 16% [15] and 25% [4] of them actually exhibit the symptom of athetosis. A component of this is the finding that most often the symptoms that involve athetosis occur as a part of choreoathetosis as opposed to athetosis alone.
Choreoathetosis is also a common presentation of dyskinesia as a side effect of levodopa-carbidopa in the treatment of Parkinson disease. [ 1 ] The use of crack cocaine or amphetamines can result in conditions nicknamed crack dancing , or tweaking respectively, described as choreoathetoid.
Symptoms are most severe in youth and lessen with age. Sufferers can have multiple attacks on a daily basis or may have periods of weeks or months between attacks. Symptoms experienced during attacks can vary and include dystonia, chorea, athetosis, ballismus, or a combination. [3]
Management options can be subdivided into medical treatment and rehabilitation interventions. Medical treatment consists of oral medication and surgery. Before using oral drugs, it is important to differentiate between spasticity , dystonia and choreoathetosis since each motor disorder has a specific approach.
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