8. DIFFRENTIAL DX OF HYPERKINESIA THAT ARE PRESENT ASLEEP OR AWAKE
• HYPNOGENIC DYSKINESIA.
• PERIODIC MOVEMENTS IN SLEEP.
APPEARS DURING
SLEEP AND
DISAPPEARS WHEN
AWAKENED
• SECONDARY PALATAL
MYOCLONUS.
• OCULAR MYOCLONUS.
• OCULOFACIOMASTICTORY
MYOARHYTHMIA.
• MOVING TOES.
• MYOKEMIA.
• NEUROMYOTONIA(ISAACS
SYNDROME)
PERSISTS DURING
SLEEP
9. MORE PROLONGED OBSERVATION
AT REST
VERSUS WITH
ACTION
PATTERNED
VERSUS NON
PATTERNED.
COMBINATIONS
OF VARIETIES
OF
MOVEMENTS.
10. DIFFRENTIAL DX OF HYPERKINESIA THAT ARE PRESENT AT REST OR WIYH ACTION
AT REST ONLY(DISAPPEAR DURING ACTION) WITH ACTION ONLY AT REST AND CONTINOUS WITH ACTION
AKATHETIC MOVEMENTS ATAXIA ABDOMINAL DYSKINESIA
PARADOXICAL DYSTONIA ACTION DYSTONIA ATHETOSIS
RESTING TREMOR ACTION MYOCLONUS BALLISM
RESTLESS LEGS ORTHOSTATIC TREMOR CHOREA
ORTHOSTATIC TREMOR(ONLY ON STANDING) TREMOR:POSTURAL,ACTION,INTENTION. DYSTONIA
TASK SPECIFIC TREMOR JUMPY STUMPS
TASK SPECIFIC DYSTONIA MINIPOLYMYOCLONUS
MOVING TOES /FINGERS
MYOCLONUS
MYOKEMIA
PSEUDODYSTONIA
TICS
11. PATTERENED AND NON PATTERNED MOVEMENTS
PATTERENED(SAME MUSCLE GROUP)
ABDOMINAL DYSKINESIA
DYSTONIA
HEMIFACIAL SPASM
MOVING TOES/FINGERS
SEGMENTAL MYOCLONUS
MYORHYTMIA
MYOKEMIA
TARDIVE STEREOTYPY
TREMOR
NON PATTERENED
ALL
OTHERS
13. FEATURES REQUIRING LONGER OBSERVATION
SPEED: SLOW VERSUS FAST
AMPLITUDE: BALLISTIC VERSUS NON BALLISTIC
FORCE: POWERFUL,PAINFUL VERSUS EASY TO OVERCOME
SUPPRESSIBILTY
VOCALIZATION
SELF MUTILATION
COMPLEXITY OF MOVEMENTS
SENSORY COMPONENT