Paroxysmal dyskinesia
| Paroxysmal dyskinesia | |
|---|---|
| Synonyms | Paroxysmal movement disorders |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Episodic involuntary movements, dystonia, chorea, athetosis |
| Complications | N/A |
| Onset | Varies by type |
| Duration | Seconds to hours |
| Types | Paroxysmal kinesigenic dyskinesia, Paroxysmal non-kinesigenic dyskinesia, Paroxysmal exercise-induced dyskinesia |
| Causes | Genetic mutations, stress, exercise, caffeine |
| Risks | Family history, specific genetic mutations |
| Diagnosis | Clinical diagnosis, genetic testing |
| Differential diagnosis | Epilepsy, migraine, psychogenic movement disorders |
| Prevention | N/A |
| Treatment | Anticonvulsants, benzodiazepines, lifestyle modifications |
| Medication | N/A |
| Prognosis | Varies; often manageable with treatment |
| Frequency | Rare |
| Deaths | N/A |
Paroxysmal dyskinesia is a group of rare neurological disorders that present as sudden, brief, involuntary movements. These movements can include a variety of symptoms such as spasms, jerking, and twisting. The term "paroxysmal" refers to the sudden onset and brief duration of symptoms, while "dyskinesia" refers to abnormal, uncontrolled movements.
Types of Paroxysmal Dyskinesia
There are three main types of paroxysmal dyskinesia: paroxysmal kinesigenic dyskinesia (PKD), paroxysmal nonkinesigenic dyskinesia (PNKD), and paroxysmal exertion-induced dyskinesia (PED).
Paroxysmal Kinesigenic Dyskinesia
PKD is the most common type of paroxysmal dyskinesia. It is characterized by brief episodes of involuntary movement triggered by sudden voluntary movements or changes in movement.
Paroxysmal Nonkinesigenic Dyskinesia
PNKD is less common than PKD and is characterized by longer episodes of involuntary movement that are not triggered by voluntary movement.
Paroxysmal Exertion-Induced Dyskinesia
PED is a rare type of paroxysmal dyskinesia that is triggered by prolonged physical activity.
Causes
The exact cause of paroxysmal dyskinesia is unknown, but it is believed to be related to abnormalities in the brain's ability to regulate movement. Some cases have been linked to genetic mutations.
Diagnosis
Diagnosis of paroxysmal dyskinesia is based on the patient's symptoms and medical history. Additional tests such as MRI scans and genetic testing may be used to confirm the diagnosis and rule out other conditions.
Treatment
Treatment for paroxysmal dyskinesia is aimed at managing symptoms and can include medications such as anticonvulsants and muscle relaxants. In some cases, surgery may be considered.
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Contributors: Prab R. Tumpati, MD