Presentation
On examination - dysdiadochokinesia On examination - dysdiadochokinesia (finding) On examination - dysdiadochokinesia present On examination - dysdiadochokinesia present (situation) On examination - dyspraxia On examination - dyspraxia (finding) Paragraphia [averbis.com]
Ataxia, both truncal and cerebellar, is present. Mobility is impaired from early childhood and eventually requires assistance. Joint contractures sometimes develop and patients can be wheelchair-bound by the second decade. [disorders.eyes.arizona.edu]
Presentation Abnormalities in diadochokinesia can be seen in the upper extremity, lower extremity and in speech. [dict.eudic.net]
Nystagmus may also be present. [ncbi.nlm.nih.gov]
Entire Body System
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Wheelchair Bound
Joint contractures sometimes develop and patients can be wheelchair-bound by the second decade. Dysarthric speech is common. No dysmorphic facial features are present. Brain imaging shows progressive cerebellar and sometimes cerebral atrophy. [disorders.eyes.arizona.edu]
Some patients may become wheelchair-bound as young adults (summary by Haack et al., 2016). [ncbi.nlm.nih.gov]
Neurologic
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Decorticate Posture
Intracranial Pressure Medical Terminology Ems Google Search Nurse Life Nurse Stuff Nurses Core School Nursing Forward “ Another great way to remember Decorticate Posturing is that you turn inwards toward your CORE. [pinterest.de]
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Profound Mental Retardation
Affected individuals show mild to profound mental retardation with poor or absent speech as well as gait and stance ataxia and hyperreflexia. Most individuals also have eye movement abnormalities. [ncbi.nlm.nih.gov]
Workup
[…] in the ED for a stable patient with an acute cerebellar syndrome can be initiated following consultation with a neurologist, and the workup may include blood tests (including heavy metals, serum ETOH and anticonvulsant drug levels), neuroimaging to exclude [lifeinthefastlane.com]
MR
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MRI Shows Cerebellar Atrophy
Brain MRI shows cerebellar atrophy and ventriculomegaly (summary by Guergueltcheva et al., 2012). [ncbi.nlm.nih.gov]
Treatment
Treatment Treatment Options: No treatment has been reported. However, physical therapy, assistive devices for mobility, and low vision aids may be helpful. [disorders.eyes.arizona.edu]
Radiculopathy Hand Therapy Occupational Therapy Physical Therapy Neurological Assessment Case Study Cervical Spinal Stenosis Evaluation Motors Forward Exam For Pinched Nerve - Radiculopathy What Is Cerebral Palsy Types Of Cerebral Palsy Cerebral Palsy Treatment [pinterest.de]
"Brain Dopamine-Serotonic Vesicular Transport Disease and Its Treatment". New England Journal of Medicine. 368 (6): 543-550. doi : 10.1056/NEJMoa1207281. PMID 23363473. [popflock.com]
Prognosis
PMID: 18400651 Prognosis Kataria R, Fernandes S, Lebastchi J, Bravo CA, Sena KN Conn Med 2017 Mar;81(3):161-164. PMID: 29772159 Lasso FA, Zamora Bastidas TO, Potosí García JA, Díaz Idrobo B Colomb Med (Cali) 2017 Jun 30;48(2):94-97. [ncbi.nlm.nih.gov]
Management and prognosis This depends upon the underlying cause. [patient.info]
Aromatic L-amino acid decarboxylase deficiency: clinical features, treatment, and prognosis. Neurology 2004 ;62: 1058 - 1065 8. Swoboda KJ, Hyland K, Goldstein DS, et al. [doi.org]
Etiology
It is not a specific disease, but a clinical sign that can have diverse etiologies. It is typically caused by either cerebellar damage or impaired vestibular or proprioceptive afferent sensory input to the cerebellum. [radiopaedia.org]
Cerebellar syndromes Summary Etiology Clinical features Diagnostics Differential diagnoses [amboss.com]
Etiology Am J Drug Alcohol Abuse 2012 May;38(3):239-45. Epub 2012 Jan 20 doi: 10.3109/00952990.2011.644001. [ncbi.nlm.nih.gov]
[…] frontal lobe lesion, normal pressure hydrocephalus or upper motor neuron lesion see the gait disorders, drop attacks and frequent falls guidemap for further problem-solving information – if the symptoms and signs suggest cerebellar disease, the likely etiology [lifeinthefastlane.com]
Epidemiology
This language habitat can cause confusion in the communication of the principle in epidemiology. Diseases can affect not only physically, but also emotionally. [wikivisually.com]
Pathophysiology
"Pathophysiology of Cerebellar Ataxia". Movement Disorders. 7 (2): 95-109. doi : 10.1002/mds.870070202. PMID 1584245. a b c Wang, YT; Kent, RD; Duffy, JR; Thomas, JE (2008). [popflock.com]
"Pathophysiology of Cerebellar Ataxia". Movement Disorders. 7 (2): 95–109. doi:10.1002/mds.870070202. PMID 1584245. a b c Wang, YT; Kent, RD; Duffy, JR; Thomas, JE (2008). [en.wikipedia.org]
"Pathophysiology of Cerebellar Ataxia". Movement Disorders 7 (2): 95-109. DOI:10.1002/mds.870070202. PMID 1584245. Bates Guide to Physical Examination, 8th Ed. [dictionnaire.sensagent.leparisien.fr]
Clinical, pathophysiological and genetic features of motor symptoms in autosomal dominant Alzheimer's disease. Brain, 142(5), 1429-1440. [awz050]. [indiana.pure.elsevier.com]
Günther Deuschl, Jan Raethjen, Michael Lindemann and Paul Krack, The pathophysiology of tremor, Muscle & Nerve, 24, 6, (716-735), (2001). [doi.org]
Prevention
Learning strategies for how to prevent falls and modifying the home (for example, installing grab rails, removing loose carpets, and placing nonskid mats) can keep someone safe if they continue to struggle with symptoms of DDK. [verywellhealth.com]
Cartilage prevents the bone ends from rubbing directly onto each other, muscles contract to move the bone attached at the joint. There are, however, diseases and disorders that may affect the function. [wikivisually.com]
Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test. [juniperpublishers.com]