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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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2012-10-01
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Series: | Frontiers in Neurology |
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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. |
first_indexed | 2024-12-13T09:47:40Z |
format | Article |
id | doaj.art-7a10ec162087422bb45dea2178a08394 |
institution | Directory Open Access Journal |
issn | 1664-2295 |
language | English |
last_indexed | 2024-12-13T09:47:40Z |
publishDate | 2012-10-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Neurology |
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 |