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Movement Disorders Defined
Parkinson's Disease
Parkinson’s is slowly progressive, chronic disease
that is caused by a deficiency in the brain chemical dopamine.
Parkinson’s is usually characterized by two or more
of the following symptoms:
- Resting tremor (limb tremor while at rest)
- Rigidity (stiffness)
- Postural Reflexes (loss of balance)
- Bradykinesia (slow movement)
The cause is unknown, although new medical and surgical approaches
for controlling the symptoms of the disease continue to be
developed. Neurosurgical intervention may be necessary when
medical management is no longer effective in symptom control.
Essential Tremor
Tremor is the most common type of movement disorder and occurrence
of tremor increases with age. Essential tremor, sometimes
known as familial tremor, is characterized by the uncontrollable
shaking of the head, jaw, hands or feet when not at rest.
It is often inherited and is not associated with any other
neurological symptoms. Tremors can be minimized/controlled
with medications or surgery.
Tic Disorders
Tic Disorders are involuntary, repeated displays of body
movements or sounds that are quick, sudden, and/or uncontrollable.
They can be simple, involving one muscle group, or complex,
involving multiple muscle groups. Tics may last a few minutes
or several hours, and are more prominent when an individual
is alone or under stress. Tourette’s Chronic Motor and
Vocal Tic syndromes are examples of tic disorders.
Tics usually begin in early childhood, then stabilize or
subside by young adulthood. Four to five percent of children
have this disorder, and it may be associated with obsessive-compulsive
traits or behavior disorders. Botulinum toxin injections may
be effective for these traits.
Dystonia
Dystonia is defined as involuntary, sustained muscle contractions
that can cause abnormal postures, twisting, or repetitive
movements in any part of the body. Dystonias include:
- Blepharspasm (eye closure)
- Meiges syndrome (facial spasm)
- Spasmodic torticollis (neck twisting)
- Writer’s cramp
This type of disorder also responds well to botulinum toxin
injections.
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