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Ataxia

Ataxia

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Published by sarguss14

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Published by: sarguss14 on Nov 23, 2008
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01/23/2013

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Neurological symptoms
 
 
MOVEMENT DISORDERS
Tremors
rhythmic oscillating movement of extremities or headTypes:Action Tremors- essential, familial, senile typetremors of posture or activity, disappearing with rest,usually assymetrical, head are commonly involved butlegs are rarely affected, lower amplitude thanparkinsonismNO rigidity or bradykinesia, maybe relieved temporarilywith alcohol intakeNeurological exam ___/NormalDDx: pheochromocytoma (increase catecholamines)hyperthyroidism, toxins, amphetamines, lithium,amytriptyline intake
 
 
Resting tremor- ParkinsonismGross: 3-7/ sec “pill rolling” resting tremor that improves with movementhigher age group, not relieved by alcoholPE: decreased facial expression, rigidity of the limbs, shuffling gait, slow movement,patient is depressed, may lead to dementiaIntention tremor - due to cerebellar dysfunction

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