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14 Possible Causes for Difficulty Vocalizing, Progressive Action Tremor

  • Parkinson's Disease

    […] reduction in speed and amplitude of repetitive actions) and at least one of the following: (i) muscular rigidity, (ii) 4–6 Hz rest tremor and (iii) postural instability not[doi.org] Other potential causes of intraoperative difficulties breathing include bilateral vocal cord palsy, positional asphyxia, and silent aspiration.[ncbi.nlm.nih.gov] (hand, leg or jaw; low frequency [4–5 Hz], asymmetric, disappears with action) - Excellent response to levodopa (70%–100%) - Progressive disorder - Severe levodopa-induced[dx.doi.org]

  • Essential Tremor

    Characterised by a progressive tremor of the upper extremities, present in posture and action, without other neurological signs or symptoms.[bestpractice.bmj.com] Vocal tremor is often worsened by head tremor, and reduction in head tremor may also improve the voice.[movementdisorderscenter.org] Essential tremor is a slowly progressive disease that causes shaking while assuming static positions (postural tremor) and during movements (action tremor).[blogs.biomedcentral.com]

  • Shy Drager Syndrome

    In addition, patients with MSA-C may have tremor with action, which is different from the resting tremor seen in typical Parkinson's disease.[bcm.edu] Speech Difficulties * Speech problems may be a result of cerebellar MSA. Normal vocal inflections may be lost, and speech can become slow or slurred.[uaddit.com] […] of ventilatory difficulties.[ncbi.nlm.nih.gov]

  • Cerebral Palsy

    The most common manifestation of ataxic cerebral palsy is intention (action) tremor, which is especially apparent when carrying out precise movements, such as tying shoe laces[en.wikipedia.org] Speech may be hard to understand because of difficulty with controlling the tongue, vocal cords and breathing.[southerncross.co.nz] This symptom gets progressively worse as the movement persists, making the hand shake.[en.wikipedia.org]

  • Olivopontocerebellar Atrophy

    Tremor - Postural, resting, or both Bradykinesia plus at least 1 parkinsonian feature Cerebellar Dysfunction • Gait ataxia (wide-based stance with steps of irregular length[physio-pedia.com] […] cord paralysis, which makes speech and breathing difficult Increased difficulty swallowing People typically live about seven to 10 years after multiple system atrophy symptoms[mayoclinic.org] […] reduction in speed and amplitude during repetitive actions • Rigidity • Postural instability not caused by primary visual, vestibular, cerebellar, or proprioceptive dysfunction[physio-pedia.com]

  • Optic Atrophy-Intellectual Disability Syndrome

    Spinocerebellar ataxia type 12 (SCA12) is an autosomal dominant disorder characterized by action tremor of the upper extremities progressing to ataxia and other cerebellar[chginc.org] Audiological assessment including tonal and vocal audiometry was normal.[frontiersin.org] Ophthalmological investigations disclosed a best corrected visual acuity of 0.5 on both eyes, with difficulties to fixate his gaze.[frontiersin.org]

  • Striatonigral Degeneration

    In addition, patients with MSA-C may have tremor with action, which is different from the resting tremor seen in typical Parkinson's disease.[bcm.edu] A tracheostomy may be required for life-threatening breathing complications, daytime stridor, or abnormal vocal cord mobility.[rarediseases.org] Tremor - Postural, resting, or both Bradykinesia plus at least 1 parkinsonian feature Cerebellar Dysfunction • Gait ataxia (wide-based stance with steps of irregular length[physio-pedia.com]

  • Senile Chorea

    It is an action tremor occurring during activity and is of greater amplitude when reaching for a target.[academic.sun.ac.za] […] with speech or communication vocal tics, such as grunting, involuntary speaking, or slurred speech Sydenham’s chorea This condition mainly affects children and adolescents[healthline.com] It is a slowly progressive and permanent disorder. The amplitude increases in hyperadrenergic situations.[academic.sun.ac.za]

  • Friedreich Ataxia

    […] and intention tremors can develop as the disease progresses Progressive motor weakness of the lower limbs occurs, leading to inability to walk.[flipper.diff.org] Given the harmful impact of speech difficulties on a person's functioning, a strong body of evidence is required on which to base the treatment of speech impairment in these[doi.org] Progression of the condition results in extremity and trunk involvement. With ataxia of the arms, action and intention tremors occur.[symptoma.com]

  • Spastic Ataxia with Congenital Miosis

    Additional features included action tremor, dysmetria, dysdiadochokinesis, dysarthria, and nystagmus. Cognitive development was normal.[findzebra.com] He showed mild bilateral ptosis and almost immobile vocal cords.[findzebra.com] Around the same time, she developed progressive gait disturbances resulting in frank ataxia.[findzebra.com]

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