Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review

ABSTRACTHyperkinesias are heterogeneous conditions that share the feature of production of involuntary, abnormal, excessive movements. Tremor, dystonia, and chorea are amongst the most common of these phenomena. In this focused review there is a discussion of difficult issues in hyperkinesias. The f...

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Main Author: Francisco eCardoso
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-10-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00151/full
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author Francisco eCardoso
author_facet Francisco eCardoso
author_sort Francisco eCardoso
collection DOAJ
description ABSTRACTHyperkinesias are heterogeneous conditions that share the feature of production of involuntary, abnormal, excessive movements. Tremor, dystonia, and chorea are amongst the most common of these phenomena. In this focused review there is a discussion of difficult issues in hyperkinesias. The first one is the differential diagnosis between essential tremor and Parkinson’s disease. They are readily distinguishable in the majority of patients but in a few subjects essential tremor coexist with parkinsonian features whose underlying mechanism remains to be determined. The second topic of the review is dystonic tremor. Although increasingly diagnosed and reported as accounting for the majority of SWEDDs, its diagnostic criteria are ill defined and differentiation from Parkinson’s disease and essential tremor can be challenging. In the last section, there is a discussion of the differential diagnosis of Sydenham’s chorea, the most common cause of chorea in children. In a few patients, vascular disease, systemic lupus erythematosus and primary antiphospholipid antibody syndrome can mimic Sydenham’s chorea.
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spelling doaj.art-7a10ec162087422bb45dea2178a083942022-12-21T23:52:01ZengFrontiers Media S.A.Frontiers in Neurology1664-22952012-10-01310.3389/fneur.2012.0015132797Difficult Diagnoses in Hyperkinetic Disorders – A Focused ReviewFrancisco eCardoso0Universidade Federal de Minas GeraisABSTRACTHyperkinesias are heterogeneous conditions that share the feature of production of involuntary, abnormal, excessive movements. Tremor, dystonia, and chorea are amongst the most common of these phenomena. In this focused review there is a discussion of difficult issues in hyperkinesias. The first one is the differential diagnosis between essential tremor and Parkinson’s disease. They are readily distinguishable in the majority of patients but in a few subjects essential tremor coexist with parkinsonian features whose underlying mechanism remains to be determined. The second topic of the review is dystonic tremor. Although increasingly diagnosed and reported as accounting for the majority of SWEDDs, its diagnostic criteria are ill defined and differentiation from Parkinson’s disease and essential tremor can be challenging. In the last section, there is a discussion of the differential diagnosis of Sydenham’s chorea, the most common cause of chorea in children. In a few patients, vascular disease, systemic lupus erythematosus and primary antiphospholipid antibody syndrome can mimic Sydenham’s chorea.http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00151/fullChoreaEssential TremorTremorParkinson’s diseaseDystonic tremorSydenham’s Chorea
spellingShingle Francisco eCardoso
Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review
Frontiers in Neurology
Chorea
Essential Tremor
Tremor
Parkinson’s disease
Dystonic tremor
Sydenham’s Chorea
title Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review
title_full Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review
title_fullStr Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review
title_full_unstemmed Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review
title_short Difficult Diagnoses in Hyperkinetic Disorders – A Focused Review
title_sort difficult diagnoses in hyperkinetic disorders a focused review
topic Chorea
Essential Tremor
Tremor
Parkinson’s disease
Dystonic tremor
Sydenham’s Chorea
url http://journal.frontiersin.org/Journal/10.3389/fneur.2012.00151/full
work_keys_str_mv AT franciscoecardoso difficultdiagnosesinhyperkineticdisordersafocusedreview