C615 Movement Disorders

C615.1 Ataxias

Congenital causes

Degenerative and/or genetic causes

Friedreich ataxia

  • Neurologic findings
    • Dysarthria, limb weakness, loss of DTR, progressive gait and limb ataxia
    • Loss of position and vibratory senses
    • Imaging may reveal cervical spinal cord atrophy
  • Skeletal comorbidities
    • Kyphoscoliosis and pes cavus
  • Cardiac comorbidities
    • Hypertrophic cardiomyopathy
    • Increased risk of arrhythmia and heart failure, usually leading to death by age 40.
  • Diagnosis – genetic testing – excessive GAA repeat

Endocrinologic causes

Infectious, postinfectious, and inflammatory causes

Acute postinfectious cerebellar ataxia

m/c cause of ataxia in children.
Symptoms occur approximately 1-3 weeks after infection and generally resolve spontaneously within 2 weeks.

No specific diagnostic test exists.
Clinical diagnosis of exclusion.

Transverse myelitis

Metabolic causes

Neoplastic causes

Primary psychogenic causes

Toxic causes

Traumatic causes

Vascular causes

C615.2 Chorea, Athetosis, Tremor

C615.3 Myoclonus

C615.4 Dystonia

Inherited primary dystonias

Drug-induced dystonias

Cerebral palsy

See C616.1

Metabolic disorders

Other disorders

Treatment

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