MAYMUNA NEUROSCIENCES TRUST

promoting neurosciences
Organizer: I H Bangash
17 Bellpit Close, Worsley, Manchester
maymuna.neurosciences@gmail.com

M28 7XH

UK

CONTINUOUS PROFESSIONAL DEVELOPMENT

MAY 2013

PAEDIATRIC NEUROLOGY

PEARLS & PERILS 0017

MOTOR STEREOTYPIES
They are involuntary, patterned, coordinated, repetitive, often rhythmic, non-reflexive
movements that are goal directed and occur in the same fashion with each repetition.
These must be present for at least four weeks and markedly interfere with normal activities or
possibly cause self injury which therefore excludes mild, non troublesome forms of stereotypies.
Stereotypic movements come in a variety of forms eg hand waving/rotating, arm flapping, finger
wiggling, body rocking, head nodding.
Definitions are descriptive and visualization of the movements is essential for proper diagnosis.
Differential diagnosis includes:
mannerisms, complex motor tics, compulsions, paroxysmanl dyskinesias, masturbation.

QUESTION 0017
A 16 year old girl developed encephalitis and a few weeks later exhibited hyper-sexuality,
abnormal passivity and would place objects in her mouth.
The parts of her brain most likely to be damaged are:
A
Dominant frontal lobe
B
Dominant parietal lobe
C
Bilateral frontal lobes
D
Bilateral temporal lobes
E
Corpus callosum
Answer is on the following page.

ANSWER 0017
The answer is D.
Kluver-Bucy syndrome usually occurs in the setting of bilateral temporal lobe damage which
results in visual agnosia, hyper-orality, hyper-sexuality, memory deficits and altered emotional
behaviour with reduced expression and sense of fear.

ANSWER 0015
The answer is