Friday, 9 March 2018

MOTOR OR MOVEMENT RELATED SYMPTOMS

1.      Abulia- reduced impulse to act and to think which is associated with indifference about consequences of action. Occurs as a result of neurological deficit, depression and schizophrenia.
2.      Adiadochokinesia- inability to perform rapid alternating movements. Occurs with neurological deficit and cerebellar lesions.
3.      Adynamia- weakness and fatigability, characteristic of neurasthenia and depression.
4.      Agitation- severe anxiety associated with motor restlessness.
5.      Akathisia- subjective feeling of motor restlessness manifested by a compelling need to be in constant movement. May be seen as an extrapyramidal adverse effect of antipsychotic medication. May be mistaken for psychotic agitation.
6.      Akinesia- lack of physical movement, as in extreme immobility of catatonic schizophrenia. It can also occur as an extrapyramidal effect of antipsychotic medication.
7.      Akinetic Mutism or Coma Vigil- absence of voluntary motor movement or speech in a patient who is apparently alert (as evidenced by eye movement). It is seen in psychotic depression and catatonic states.
8.      Apraxia- inability to perform a voluntary purposeful motor activity. It cannot be explained by paralysis or other motor or sensory impairment.
9.      Constructional Apraxia- patient cannot draw a 2 or 3 dimensional form (inability to copy a drawing).
10.   Astasia Abasia- inability to stand or walk in a normal manner, even though normal leg movements can be performed in a sitting or lying down position. It is seen in conversion disorder.
11.   Ataxia- lack of coordination, physical or mental. In neurology, refers to loss of muscular co-ordination. In psychiatry, the term intra-psychic ataxia refers to lack of co-ordination between feelings and thoughts. It is seen in schizophrenia and in severe OCD.
12.   Atonia- lack of muscle tone.
13.   Bradykinesia- slowness of motor activity, with a decrease in normal spontaneous movement.
14.   Catalepsy or Waxy flexibility or Cerea Flexibilitas- condition in which person maintains the body position into which they are placed. It is observed in severe cases of catatonic schizophrenia.
15.   Cataplexy- temporary sudden loss of muscle tone, causing weakness and immobilization. It can be precipitated by a variety of emotional states and is often followed by sleep. It is commonly seen in narcolepsy.
16.   Catatonic excitement- excited, uncontrolled motor activity seen in catatonic schizophrenia. Patients in catatonic state may suddenly erupt into an excited state and may be violent.
17.   Catatonic Posturing- voluntary assumption of an inappropriate or bizarre posture, generally maintained for long periods of time (may switch unexpectedly with catatonic excitement).
18.   Catatonic rigidity- fixed and sustained motoric position that is resistant to change.
19.   Catatonic stupor- stupor in which patients ordinarily are well aware of their surroundings.
20.   Chorea- movement disorder characterized by random and involuntary quick, jerky, purposeless movements. It is seen in Huntington’s disease.
21.   Command Automatism- condition associated with catalepsy in which suggestions are followed automatically.
22.   Cycloplegia- paralysis of the muscles of accommodation in the eye. It is observed at times, as an automatic adverse effect (anti-cholinergic effect) of antipsychotic or antidepressant medication.
23.   Dyskinesia- difficulty in performing movements. It is seen in extrapyramidal disorders.
24.   Dystonia- extrapyramidal motor disturbance consisting of slow, sustained contractions of the axial or appendicular musculature. One movement often predominates, leading to relatively sustained postural deviations. Acute dystonic reactions (facial grimacing and torticollis) are occasionally seen with the invitation of antipsychotic drug therapy.
25.   Hypoactivity or hypokinesis- decreased motor and cognitive activity, as in psychomotor retardation. Visible slowing of thought, speech and movement.
26.   Mannerism- ingrained, habitual involuntary movement.
27.   Muscle rigidity- state in which the muscles remain immovable. It is seen in schizophrenia.
28.   Mydriasis- dilation of the pupil. Sometimes occurs as an autonomic (anticholinergic) or atropine like adverse effect of some antipsychotic and antidepressant drugs.
29.   Overactivity- abnormality in motor behaviour that can manifest itself as psychomotor agitation, hyperactivity (hyperkinesis), tics, sleepwalking or compulsions.
30.   Paresis- weakness or partial paralysis of organic origin.
31.   Posturing or Catatonia- strange, fixed and bizarre bodily positions held by a patient for an extended time.
32.   Psychomotor Agitation- physical and mental over activity that is usually non-productive and is associated with a feeling of inner turmoil, as seen in agitated depression.
33.   Stupor- state of decreased reactivity to stimuli and less than full awareness of one’s surroundings; as a disturbance of consciousness, it indicates a condition of partial coma or semi-coma. In psychiatry, used synonymously with mutism and does not necessarily imply a disturbance of consciousness. In catatonic stupor, patients are ordinarily aware of their surroundings.
34.   Tic disorders- predominantly psychogenic disorders characterized by involuntary, spasmodic, stereotyped movement of small groups of muscles. It is seen most predominantly in moments of stress or anxiety, rarely as a result of organic disease.
35.   Tremor- rhythmical alteration in movement, which is usually faster than one beat a second. It typically decreases during periods of relaxation and sleep and increase during periods of anger and increased tension.
36.   Ideomotor Apraxia- often called IMA, is a neurological disorder characterized by the inability to correctly imitate hand gestures and voluntarily mime tool use, e.g.- pretend to brush one’s hair.
37.   Lesh- Nyhan Syndrome- impaired kidney function, acute gouty arthritis and self mutilating behaviours such as lip and finger biting and/or head banging. Additional symptoms include involuntary muscle movements, and neurological impairment.
38.   Stereotypy- repetitive, abnormal frequent, non-goal directed movements.
39.   Grimacing- an ugly, twisted expression on a person’s face, typically expressing disgust, pain or wry amusement.

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