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10 Possible Causes for Coarse Head Tremor, Cogwheel Rigidity, Motor Symptoms

  • Parkinson's Disease

    Resting tremor of extremity Bradykinesia Cogwheel rigidity of limbs Masked facies (lack of expression or facial animation) Postural instability Micrographia Short stepped[clinicaladvisor.com] Olfactory deficit is considered the most common NMS in PD preceding the motor symptoms for years.[ncbi.nlm.nih.gov] In parkinsonism the rigidity can be uniform ("lead-pipe rigidity") or ratchety ("cogwheel rigidity").[en.wikipedia.org]

  • Parkinson's Disease Type 3

    The Parkinson’s community acknowledges that there are many important non-motor symptoms as well as motor symptoms.[parkinson.org] Most scales are based on motor symptoms, but other scales focus on non-motor symptoms.[medicalnewstoday.com] People may experience non-motor symptoms from loss of other neurotransmitters up to ten years before motor symptoms are noticed.[caregiver.org]

  • Juvenile Paralysis Agitans of Hunt

    The rigidity has a rhythmic quality referred to as cogwheel rigidity (Negro’s sign), presumably due to the superimposition of the tremor.[neupsykey.com] Several therapies are available to delay the onset of motor symptoms and to ameliorate motor symptoms.[medicinenet.com] The tremor is coarse and on occasions violent and is always maximal when the limb is at rest.[academic.oup.com]

  • Pallidopyramidal Syndrome

    Cogwheel rigidity: is a combination of lead pipe rigidity and tremor which presents as a jerky resistance to passive movement as muscles tense and relax. normally, some motor[de.slideshare.net] When it comes to symptoms, there is much still to learn but report suggest symptoms may be similar to idiopathic Parkinson’s with both motor symtpoms and common non-motor[medium.com] The tremors were coarse and of high amplitude. Head and voice tremors were not present. She had weakness on the left side (grade IV MRC scale).[neurologyindia.com]

  • Primary Orthostatic Tremor

    Parkinson’s disease characteristic cogwheel rigidity may be the result of tremor and increased muscle tone (rigor).[lecturio.com] Motor symptoms are fairly characteristics but the real impact on the patient’s every day life and quality of life is under-estimated.[clinicalmovementdisorders.biomedcentral.com] […] about the fixed plane. 3 A coarse tremor has a large displacement, whereas a fine tremor is barely noticeable.[aafp.org]

  • Ataxia

    Severe appendicular, gait, and truncal ataxia was noted, and she also demonstrated mild cogwheel rigidity and bradykinesia.[ncbi.nlm.nih.gov] Significant improvements in motor performance and reduction of ataxia symptoms were observed in clinical scores after training and were sustained at follow-up assessment.[ncbi.nlm.nih.gov] These include: intention tremor (coarse trembling, accentuated over the execution of voluntary movements, possibly involving the head and eyes as well as the limbs and torso[en.wikipedia.org]

  • Acute Disseminated Encephalomyelitis

    Infrequent clinical findings included cogwheel rigidity and titubation (1 patient), athetosis (1) and polyuria/polydipsia (1).[dx.doi.org] Sensory symptoms generally develop before motor symptoms such as weakness.[en.wikipedia.org] (coarse trembling, accentuated over the execution of voluntary movements, possibly involving the head and eyes as well as the limbs and torso); peculiar writing abnormalities[en.wikipedia.org]

  • Familial Dyskinesia and Facial Myokymia

    rigidity歯車様硬直 coma昏睡 computed axial tomography コンピュータ連動断層撮影 convergence reflex輻湊(輳)反射 convulsion 痙攣 coordination disturbance協調運動障害 corneal reflex角膜反射 crampけいれん(痙攣) cranial[tokyo-med.ac.jp] Other neurologic symptoms include behavior change, dysarthria , gait disturbance, loss of fine and gross motor control with resultant deterioration of handwriting, headache[en.wikipedia.org] During the episodes the individual may have dysarthria, limb and gait ataxia and titubation (coarse tremor) of the head.[epilepsydiagnosis.org]

  • Hereditary Essential Tremor 4

    The possibility of cogwheel rigidity can be evaluated by having the patient activate the extremity contralateral to the tested one; sometimes this test will enhance subclinical[the-medical-dictionary.com] This device sends electronic signals to an area in the brain that controls movement and these signals block some brain messages that cause disabling motor symptoms.[shine365.marshfieldclinic.org] ) First observe the patient sitting at rest to note whether there is evidence of a resting tremor of the head, hands or legs.[tihcij.com]

  • Familial Episodic Pain Syndrome Type 1

    A neurological examination revealed hypomimia, bilateral gaze-evoked horizontal nystagmus, normal saccades, right-sided, slight ‘cogwheel' rigidity, bradykinesia and resting[karger.com] symptoms Trophic changes Other diagnoses are excluded Types I: No definable nerve lesion II: Nerve lesion present Epidemiology Patient features Female:Male 2:1 Age: Mean[neuromuscular.wustl.edu] During the episodes the individual may have dysarthria, limb and gait ataxia and titubation (coarse tremor) of the head.[epilepsydiagnosis.org]

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