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18 Possible Causes for Cogwheel Rigidity, Motor Symptoms, Physiologic Coordination

  • 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-Dementia Syndrome

    Turning on the subthalamic nucleus electrodes improved motor symptoms but left cognitive performance almost unchanged.[ncbi.nlm.nih.gov] RESULTS: Turning on the subthalamic nucleus electrodes improved motor symptoms but left cognitive performance almost unchanged.[f1000.com] Typical motor symptoms experienced in Stage One include tremors and shaking limbs.[healthline.com]

  • Neuroleptic Malignant Syndrome

    Motor abnormalities: Patients may have generalized, severe muscle rigidity (sometimes with simultaneous tremor, leading to cogwheel rigidity), or, less often, dystonias, chorea[msdmanuals.com] Clinically, catatonia and NMS show more or less similar motor symptoms i.e. akinesia.[citeseerx.ist.psu.edu] We present video evidence of the effectiveness of dantrolene in reducing muscular rigidity, tremor and cogwheel phenomena in a patient with NMS.[ccforum.com]

  • Parkinsonian Disorder

    (cogwheel and lead-pipe rigidity), festinant gait, stooped posture, mask-like facies and eventual progressive dementia par·kin·son·ism ( pahr'kin-sŏn-izm ) Neurologic syndrome[medical-dictionary.thefreedictionary.com] Pathology in brainstem laterodorsal/pedunculopontine What percentage of patients experience non-motor symptoms?[quizlet.com] The rigidity has a superimposed cogwheel halting character if tremor is part of the syndrome.[dartmouth.edu]

  • Methylphenyltetrahydropyridine

    rigidity of the upper extremities.[nurseslearning.com] motor involvement resting pill-rolling tremor bradykinesia muscle rigidity cogwheel rigidity postural instability shuffling gait mask-like facies depression dementia usually[medbullets.com] SEVERE TOXICITY: Higher doses and longer-term administration have been associated with central nervous system excitatory effects such as agitation, tremors, myoclonus, motor[acilbook.com]

  • Wilson Disease

    Specific neurological symptoms usually then follow, often in the form of parkinsonism (cogwheel rigidity, bradykinesia or slowed movements and a lack of balance are the most[en.wikipedia.org] In about 40% of patients, particularly young adults, the first symptoms reflect Motor deficits are common, including any combination of tremors, dystonia, dysarthria, dysphagia[msdmanuals.com] Bradykinesia, imbalance, and cogwheel rigidity are the most common parkinsonian features. An isolated unilateral rest tremor is atypical in Wilson’s disease.[clinicaladvisor.com]

  • Cardiogenic Syncope

    […] than tremor, yet the rigidity lacks the typical “cogwheel” or “lead pipe” rigidity seen in Parkinson’s disease. 24,25 Patients with parkinsonian-type MSA frequently display[circ.ahajournals.org] These symptoms not only are bothersome, but can lead to life-threatening injuries.[eplabdigest.com] , coordinated tissue growth, and angiogenesis in the heart ( 4 ).[jtd.amegroups.com]

  • Hypotension

    rigidity, festinating gait, lack of truncal rotation while turning, masked facies Parkinson disease — Confusion, dry mucous membranes, dry tongue, longitudinal tongue furrows[aafp.org] It's also a non-motor symptom of Parkinson's disease.[michaeljfox.org] Studies of physiological end points (disease-oriented evidence [DOEs]) were used to address questions where POEMs were not available.[hyper.ahajournals.org]

  • Movement Disorder

    Rigidity Increased muscle tone may make it difficult for the physician to maneuver the limbs. Cogwheel rigidity is seen in patients with Parkinson’s disease.[news-medical.net] That's why, in addition to treating motor symptoms, our center focuses on the cognitive, behavioral and emotional aspects of movement disorders that can significantly affect[rush.edu] […] of bimanual coordination.[ncbi.nlm.nih.gov]

  • 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] Physical therapy is also recommended to decrease tremor incidence, and enhance muscle control and movement coordination.[medicalook.com]

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