Presentation
The critical region contained 323 variants, 5 of which were not present in 1 of the sequence databases. [ncbi.nlm.nih.gov]
Sudhansu Chokroverty—a world-recognized expert in sleep medicine—presents the third edition of Sleep Disorders Medicine for the latest developments in this rapidly expanding specialty, with coverage of neuroscience and clinical application. [books.google.com]
Do our patients present an “essential tremor variant”?3 Some features are not in favour of such a hypothesis. [jnnp.bmj.com]
Entire Body System
- Whipple Disease
An important cause of facial movements is Whipple disease. [blepharospasm.org]
Fine quivering or rippling of muscles Most commonly occurs in facial muscles Distinguished from benign fasciculations on EMG Causes: Pontine lesions (MS), Pontine gliomas Term used to describe a slow frequency ( Typically described in context of Whipple's [quizlet.com]
Schwartz MA et al. (1986) Oculomasticatory myorhythmia: a unique movement disorder occurring in Whipple's disease. Ann Neurol 20 : 677–683 85. Schneider SA et al. (2006) Severe tongue protrusion dystonia: clinical syndromes and possible treatment. [nature.com]
Respiratoric
- Hoarseness
[…] contracture屈曲[位]拘縮 flexion reflex屈曲反射 focal epilepsy焦点性てんかん、ジャクソンてんかん foot clonus足クロ[ー]ヌス、足間代 Friedreich's ataxiaフリートライヒ[運動]失調症 g gag reflex絞扼反射、咽頭反射 gait disturbance歩行障害 grand mal大発作 Guillain-Barré syndromeギラン-バレー症候群 h hemiballism片[半]側バリズム hemiplegia片麻痺、半側麻痺 hoarseness [tokyo-med.ac.jp]
Other muscle groups that may also be affected by dystonic movements include muscles of the pharynx [7] and larynx. [3,8] The voice may become harsh, hoarse and strained, a condition termed spasmodic dysphonia. [8] Cervical muscle involvement, typical [blepharospasm.ca]
Pitch breaks, hoarseness, limited intensity range, and poor intensity control are present in all three types [ 289 ]. It has been proposed that SD is a continuum disorder in which both types of spasms occur with differing frequencies [ 58 ]. [neupsykey.com]
Cardiovascular
- Hypertension
Please see detailed testing information on https://www.asperbio.com/asper-oncogenetics/ Pulmonary Arterial Hypertension Published 02/03/2017 New NGS panel covers the analysis of 7 genes associated with pulmonary arterial hypertension. [asperbio.com]
Defazio G et al. (2000) Primary hemifacial spasm and arterial hypertension: a multicenter case–control study. Neurology 54 : 1198–1200 63. Colosimo C et al. (2003) Is hypertension associated with hemifacial spasm. Neurology 61 : 587 64. [nature.com]
Alternatively, compression of the ventral‐lateral medulla by an ectatic vessel may cause hypertension. [academic.oup.com]
Ref.3 Ref.6 Ref.14 Gestational hypertension Orthostatic hypotension Psychotic disorderG-protein coupled receptor 1Anxiety disorder, unspecified Migraine Obsessive-compulsive disorder Pulmonary hypertension This is one of the several different receptors [molsoft.com]
[…] growth hormone secreting pituitary adenoma Gnas head and neck squamous cell carcinoma Gnas heart disease Gcg hemorrhagic disease Gnas hepatocellular carcinoma Gnas Heterotopic Ossification Gnas hyperglycemia Gcg hyperinsulinism Gcg Hyperkinesis Gcg hypertension [rgd.mcw.edu]
Skin
- Localized Scleroderma
Kim HJ et al. (2000) Hemimasticatory spasm associated with localized scleroderma and facial hemiatrophy. Arch Neurol 57 : 576–580 80. Cruccu G et al. (1994) Pathophysiology of hemimasticatory spasm. J Neurol Neurosurg Psychiatry 57 : 43–50 81. [nature.com]
Eyes
- Blepharoptosis
クローヌス、足間代 aphasia失語[症] apoplexy脳卒中 aseptic meningitis無菌[性]髄膜炎 ataxia運動失調 ataxic gait失調[性]歩行 athetosisアテトーシス auditory nerve聴神経 autonomic disturbance自律神経障害 axon 軸索 axon terminals 軸索終末 b Bell's palsyベル麻痺 benign positional vertigo良性頭位性眩暈 biceps reflex二頭筋反射 blepharoptosis [tokyo-med.ac.jp]
- Lacrimation
The production of proteins, particularly lacritin, normally secreted by the lacrimal glands is markedly reduced in some patients with blepharitis, which reduces the lipid layer. [blepharospasm.org]
- Prolapse
Dystonia and choreoathetosis are rare associations of cervical cord lesions, such as ependymoma, glioma, myxoma, demyelination, trauma, and cervical disc prolapse [ 338 ]. [neupsykey.com]
Ears
- Tinnitus
Pulsatile tinnitus may also be present if the tensor tympani is involved. Hemifacial spasm may be present during sleep which differentiates it from benign essential blepharospasm (BEB). [eyewiki.aao.org]
Tinnitus was present in four patients, three of whom had complete resolution at 1-month follow-up. Other complications are summarized in Table 1. [surgicalneurologyint.com]
Symptoms are frequently aggravated by stress, fatigue, anxiety, and voluntary facial movements. 1, 7 Relaxation, alcohol intake, touching the affected areas, and exercise reportedly improve symptoms in some patients. 1 Low‐pitched tinnitus in the ipsilateral [academic.oup.com]
Corneal disorder Death Diplopia Dysarthria Foetal damage Hypoaesthesia oral Impaired healing Keratitis Loss of consciousness Methaemoglobinaemia Muscle twitching Myocardial depression Nervousness Nystagmus Presyncope Respiratory failure Sensitisation Tinnitus [molsoft.com]
Neurologic
- Apraxia
Georgescu D et al. (2008) Upper eyelid myectomy in blepharospasm with associated apraxia of lid opening. Am J Ophthalmol 145 : 541–547 27. Boghen D (1997) Apraxia of lid opening: a review. Neurology 48 : 1491–1494 28. [nature.com]
This is analogous to the motor blocks or the freezing phenomenon experienced by some, and the terms "apraxia of eyelid opening". [blepharospasm.org]
Stage II includes continued intellectual decline, myoclonus, focal seizures with secondary generalization, choreoathetosis, apraxia, and visual changes with optic atrophy, dysarthria, and tremors. [neuroweb.us]
Basal ganglia disease can produce various combinations of spontaneous blepharospasm, reflex blepharospasm and "apraxia" of eyelid opening, in addition to involuntary movements of the lower face. [blepharospasm.ca]
- Hyperactivity
Tetanus is caused by tetanus toxin, a product of Clostridium tetani, and it is characterized by hyperactivity of motor neurons, which causes forceful closure of the eyelids. [blepharospasm.org]
Chronic electrical stimulation of the facial nerve causes signs of facial nucleus hyperactivity. Neurol Res. 1993. 15: 225-31 51. Samii M, Gunther T, Iaconetta G, Muehling M, Vorkapic P, Samii A. [surgicalneurologyint.com]
Isoform 7 is not found in hypothalamus or substantia nigra.G-protein coupled receptor 1Acid-related diseases Allergic rhinitis, unspecified Alzheimer's disease Attention-deficit hyperactivity disorder Central nervous system diseases Inflammatory diseases [molsoft.com]
- Febrile Seizures
seizures plus (GEFS+) Deletion and duplication analysis; Sequencing of all coding exons of the gene - - 6 SCN1B Generalised Epilepsy with febrile seizures plus (GEFS+) Sequencing of all coding exons of the gene - - 0.8 SCN2A Generalised Epilepsy with [cegat.de]
Patients display febrile seizures persisting sometimes beyond the age of 6 years and/or a variety of afebrile seizure types. [molsoft.com]
- Oculomasticatory Myorhythmia
This oculomasticatory myorhythmia is usually associated with contractions of neck as well as the pharyngeal and proximal and distal musculature. The phenomenology of blepharospasm is usually the same regardless of its cause. [blepharospasm.org]
Schwartz MA et al. (1986) Oculomasticatory myorhythmia: a unique movement disorder occurring in Whipple's disease. Ann Neurol 20 : 677–683 85. Schneider SA et al. (2006) Severe tongue protrusion dystonia: clinical syndromes and possible treatment. [nature.com]
- Babinski Sign
Furthermore, in contrast to blepharospasm, patients with hemifacial spasm often exhibit paradoxical raising of the eyebrow as the eye closes (the "other" Babinski sign) ( Stamey and Jankovic, 2007 ). [blepharospasm.org]
Stamey W and Jankovic J (2007) The other Babinski sign in hemifacial spasm. Neurology 69 : 402–404 24. Jankovic J (2004) Botulinum toxin in clinical practice. J Neurol Neurosurg Psychiatry 75 : 951–957 25. [nature.com]
Workup
However, traditional one-by-one genetic testing facilitating the diagnostic workup is increasingly replaced by simultaneous gene testing using next-generation multiple gene panels and whole exome/genome sequencing. [movementdisorders.org]
Treatment
[…] disorders across the lifespan (pediatric, adult, and geriatric populations) Includes interventions and methods of treatment for the outcomes patients may experience [books.google.com]
Cranial dystonia Medical Surgical Hemifacial spasm Medical Surgical Botulinum toxin injections Pharmacologic features Method of treatment Results of treatment Clinical Features and Course Blepharospasm, the most frequent feature of cranial dystonia, [blepharospasm.ca]
Gabapentin in the treatment of hemifacial spasm. Acta Neurol Scand 2001 ; 104 : 110 –12. 32 Bandini F, Mazzella L. Gabapentin as treatment for hemifacial spasm. Eur Neurol 1999 ; 42 : 49 –51. 33 Patel J, Naritoku DK. [academic.oup.com]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Prognosis
Prevention - ADCY5-related dyskinesia Diagnosis - ADCY5-related dyskinesia Prognosis - ADCY5-related dyskinesia Not supplied. Treatment - ADCY5-related dyskinesia Resources - ADCY5-related dyskinesia [checkorphan.org]
Prognosis value of myoclonus status in comatose survivors of cardiac arrest. Ann Neurol 1994 ; 35 : 239 –243. 6. Caviness JN, Forsyth PA, Layton DD, McPhee TJ. The movement disorder of adult opsoclonus. Mov Disord 1995 ; 10 : 22 –27. 7. [cambridge.org]
Prognosis 80-85% of Patients improve with botulinum toxin 90% of patients improve with microvascular decompression. American Academy of Ophthalmology. [eyewiki.aao.org]
There are several historical case series reporting successful treatment of Sydenham's chorea by inducing fever. [12] [13] Prognosis [ edit ] Fifty percent of patients with acute Sydenham's chorea spontaneously recover after two to six months whilst mild [en.wikipedia.org]
The prognosis is usually bad with survival rates less than a few years after onset. [neuroweb.us]
Etiology
Risk Factors Facial trauma Cranial nerve seven injury Bell’s Palsy Atherosclerosis Family History Pathophysiology The pathophysiology is not well understood and likely varies by etiology. [eyewiki.aao.org]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
The etiology and pathologic substrate are unknown. [neupsykey.com]
Jannetta PJ et al. (1977) Etiology and definitive microsurgical treatment of hemifacial spasm: operative techniques and results in 47 patients. J Neurosurg 47 : 321–328 62. [nature.com]
The presence of associated findings, however, may suggest a specific etiology. [blepharospasm.org]
Epidemiology
Relevant External Links for ADCY5 Genetic Association Database (GAD) ADCY5 Human Genome Epidemiology (HuGE) Navigator ADCY5 Atlas of Genetics and Cytogenetics in Oncology and Haematology: ADCY5 No data available for Genatlas for ADCY5 Gene Cloning and [genecards.org]
D. (2002) Taxonomy and epidemiology of spinal cord injury pain. In: Yezierski, R.P. and Burchiel, K. (eds.) [shiga-med.ac.jp]
Defazio G et al. (2004) Epidemiology of primary dystonia. Lancet Neurol 3 : 673–678 7. Defazio G et al. (2007) Do primary adult-onset focal dystonias share aetiological factors? Brain 130 : 1183–1193 8. [nature.com]
Epidemiology Movement disorders are common neurologic problems, and epidemiological studies are available for some of them ( Table 1.3 ). [clinicalgate.com]
Epidemiology Rare disease (8-15 out of 100,000 people in the US) [1] More common in women than men (~2x more common in women) Most common in middle-aged and older people (typical age of onset 50-60 years old) Etiology There are a number of known causes [eyewiki.aao.org]
Pathophysiology
Cruccu G et al. (1994) Pathophysiology of hemimasticatory spasm. J Neurol Neurosurg Psychiatry 57 : 43–50 81. [nature.com]
Risk Factors Facial trauma Cranial nerve seven injury Bell’s Palsy Atherosclerosis Family History Pathophysiology The pathophysiology is not well understood and likely varies by etiology. [eyewiki.aao.org]
The pathophysiology of tremor. Muscle Nerve 2001 ; 24 : 716 –735. 5. Wijdicks EFM, Parisi JE, Sharbrough FW. Prognosis value of myoclonus status in comatose survivors of cardiac arrest. Ann Neurol 1994 ; 35 : 239 –243. 6. [cambridge.org]
The presumed pathophysiologic mechanism of hemifacial spasm involves the generation of ortho- and antidromic impulses by a damaged area of the facial nerve. [blepharospasm.org]
Pathophysiologic Features » Cranial dystonia The precise cause of cranial dystonia is not known. [blepharospasm.ca]
Prevention
Others prevent production of adenylate cyclase 5. It is unclear how either type of mutation leads to the abnormal movements that occur in this disorder. [checkorphan.org]
Wearing dark glasses can reduce bright light triggers and prevent embarrassment due to the stares of onlookers. Voluntary manoeuvres, such as pulling the eyelid, pinching the neck, talking, yawning, humming and singing, help some sufferers. [audraeye.com]
Primary prevention None History Patients present with the complaint of inability to keep their eyelid open on the affected side. They describe an intermittent twitch or flutter of the eyelid followed by sustained and involuntary eyelid closure. [eyewiki.aao.org]
Phosphorylation of ASF1A prevents its proteasome-mediated degradation, thereby enhancing chromatin assembly. [molsoft.com]
The retained awareness and history of triggers should prevent misdiagnosis as focal seizures. [epilepsydiagnosis.org]