Causes of flaps

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Asterixis (also called the flapping tremor, or liver flap) is a tremor of the wrist when the wrist is extended (dorsiflexion), sometimes said to resemble a bird flapping its wings. This motor disorder is characterized by jerking movements (as of the outstretched hands) and is associated with various encephalopathies due especially to faulty metabolism.[1] The term derives from the Greek a, "not" and st rixis, "fixed position".

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1 Associated conditions and presentation 2 History 3 References 4 External links

[edit] Associated conditions and presentation

5th Year Medicine Definition First described by Adams and Foley in 1949. metacarpophalangeal. Flapping tremors as seen in cirrhosis of liver Common Causes Some of the common causes of Flapping tremors as seen in cirrhosis of liver may include: Hepatic encephalopathy Metabolic encephalopathies Acute hepatic failure y y y Read more at http://www.2. damage to brain cells due to the inability of the liver to metabolize ammonia to urea. and hip joints. but may be asymmetric.3 In essence. The exact mechanism by which asterixis occurs remains unknown.wrongdiagnosis. Except for the facial muscles. The lapse of posture has been termed ³negative clonus´ because during tonic muscle contraction (i.Usually there are brief. and any skeletal muscle.htm?ktrack=kcpl ink Asterixis Aric Parnes.e. Asterixis is seen most often in drowsy or stuporous patients with metabolic encephalopathies. The cause is thought to be related to abnormal ammonia metabolism. It can also be a feature of Wilson's disease. y y y y It can be a sign of hepatic encephalopathy. with a frequency of 3-5 Hz. and in carbon dioxide toxicity.1 asterixis is a clinical sign indicating a lapse of posture and is usually manifest by a bilateral flapping tremor at the wrist. posture) a short EMG silent period precedes the tremor. the tremors occur in an asynchronous (i. It is bilateral. 3 It may also be seen in tongue. A leading theory suggests interruption of the posture pathway in the rostral reticular formation and abnormal joint not symmetric) fashion on either side of the body. . especially in decompensated cirrhosis or acute hepatic failure. It is also seen in some patients with renal failure and azotemia. foot.e. the patient struggles to maintain posture while posture control repetitively vanishes. arrhythmic interruptions of sustained voluntary muscle contraction causing brief lapses of posture.

and medial frontal cortex may also cause unilateral asterixis. 4. hypokalaemia and hypomagnesaemia. Unilateral Asterixis These are most commonly due to focal brain lesions in the genu and anterior portion of the internal capsule or ventrolateral thalamus. At this time. References . the hands fall. Wilson¶s disease and focal brain lesions in the rostral midbrain tegmentum may also cause asterixis. An alternate method of testing for asterixis involves having the patient relax his legs while he lies supine with his knees bent.To Test For Asterixis Extend the arms. until the normal postural muscle activity returns. parietal cortex. The feet should be kept flat on the table and as the legs fall to the sides. If not immediately apparent. noted by increasing acceleration. spread the fingers. 5 An EMG showing the normal postural activity suddenly interrupted. Electrolyte abnormalities known to cause asterixis include hypoglycaemia. are the most common causes of bilateral asterixis. Lesions in the midbrain. watch for flapping of the legs at the hip joint. this tremor may be accentuated by asking the patient to keep the arms straight while the examiner gently hyperextends the patient¶s wrist with a sweeping motion. phenytoin intoxication (³phenytoin flap´) and primidone intoxication. dorsiflex the wrist and observe for the abnormal ³flapping´ tremor at the wrist. Bilateral Asterixis Metabolic encephalopathies.3. electrolyte abnormalities and drug intoxication. alcoholism. Drug intoxications include barbiturate intoxication. Other causes of asterixis include cardiac and respiratory disease. This repetitively brings the knees back together. especially hepatic and renal. Those caused specifically by hepatic failure are known as ³liver (or hepatic) flap´.

Always seek prompt professional medical advice about the cause of any symptom.htm?ktrack=kcplin k .com/symptoms/flapping_tremors_as_seen_in_cirrhosis_of_liver/deaths.Definition of ASTERIXIS : a motor disorder characterized by jerking movements (as of the outstretched hands) and associated with various encephalopathies due especially to faulty metabolism Flapping tremors as seen in cirrhosis of liver: Possibly Deadly Misdiagnosed Causes Some of the causes.wrongdiagnosis. Select from the following alphabetical view of conditions which include a symptom of Flapping tremors as seen in cirrhosis of liver or choose View All. may include: Renal failure Wilson's disease y y Read more at http://www. Read more at http://www.htm?ktrack=kcplin k Conditions listing medical symptoms: Flapping tremors as seen in cirrhosis of liver: The following list of conditions have 'Flapping tremors as seen in cirrhosis of liver' or similar listed as a symptom in our This computer-generated list may be inaccurate or incomplete. which may potentially be dangerous or fatal if left k More about Death and Flapping tremors as seen in cirrhosis of liver y y y Causes of Flapping tremors as seen in cirrhosis of liver Silent deadly killer diseases Top misdiagnosed diseases Read more at http://www.