Cognitive Assessment for Clinicians by Hodges John R

Author:Hodges, John R. [Hodges, John R.]
Language: eng
Format: azw3
Publisher: OUP Oxford
Published: 2017-09-21T04:00:00+00:00

Motor system

Postural arm drift

This is tested by asking the patient to maintain a static position of the outstretched arms in the horizontal position with the eyes closed. Downwards and usually inwards drift of the arm is a frequent sign of contralateral hemisphere disease, and may be found in the absence of any other motor signs. Observation of the hands and fingers in this position is also very useful for detecting involuntary choreiform or dystonic movements.

Involuntary movements

These are best observed when taking the history. Chorea is often overlooked, and attributed to fidgetiness. If there is any doubt about their presence, ask the patient to lie still on the bed with the eyes gently closed. Also watch when the patient is walking; this often exacerbates chorea, producing characteristic finger-flicking movements, and may also bring out dystonic limb-posturing.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.