motor symptoms and sign in psychiatry
TRANSCRIPT
![Page 1: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/1.jpg)
Motor symptoms and sign in Psychiatry
Dr.Md. Gias Uddin Sagor MBBS;M PHIL (Psychiatry)Associate Professor & Head
Dept . of PsychiatryCMOSHMC.
![Page 2: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/2.jpg)
Motor symptoms and sign in psychiatry
• Tics• Mannerisms• Stereotypes• Catatonia• Catalepsy• Posturing• Grimacing• Schauzkrampf• Negativism• Echopraxia• Mitgehen• Ambitentendence• Stupor
![Page 3: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/3.jpg)
Tics
• Irregular repeated movements involving group of muscles.
Irregular repeated movements involving group of muscles.
![Page 4: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/4.jpg)
Mannerism
• Repeated movements that appear to have some functional significance.
![Page 5: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/5.jpg)
Stereotypes
• Repeated movements that are regular(un like tics) and without obvious significance(unlike mannerism).
![Page 6: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/6.jpg)
Tourette syndrome (TS)
• Neurological disorder characterized by repetitive, stereotyped, involuntary movements and vocalizations called Tourette syndrome (TS)
![Page 7: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/7.jpg)
Catatonia
• State of increased muscle tone affecting extension and flexion abolished by voluntary movements.
![Page 8: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/8.jpg)
Catalepsy
• Describe the tonus in catatonia.
• It is detected when a patients limb can be placed in a position in which they then remain for long periods whilst at the same time muscle tone is uniformly increased.
![Page 9: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/9.jpg)
Cataplexy
• Sudden and transient episode of muscle weakness accompanied by full conscious awareness, typically triggered by emotions such as laughing, crying, terror, etc
![Page 10: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/10.jpg)
Narcolepsy
• Irresistible attack of sleep
![Page 11: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/11.jpg)
Posturing
• Adoption of unusual bodily postures continuously for a long time.
![Page 12: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/12.jpg)
Grimacing
• Same meaning as in everyday speech.
![Page 13: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/13.jpg)
Schautzkramp
• Pouting of the lips to bring them closer to the nose.
![Page 14: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/14.jpg)
Negativism
• Do the opposite what is asked and actively resist efforts to persuade them to comply.
![Page 15: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/15.jpg)
Echopraxia
• Imitation of the interviewers movement automatically even when asked not to do.
![Page 16: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/16.jpg)
Mitgehen
• Excessive compliance.
• Patients limb can be moved into any position with the slightest pressure.
![Page 17: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/17.jpg)
Ambitendence
• Simultaneous contradictory movement.
![Page 18: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/18.jpg)
Stupor • Patient is immobile• Mute• Unresponsive• But appears to fully conscious in
that eyes are usually open and follow external objects.
• If the eyes are closed , the patient resists attempts to open them.
• Psychomotor retardation with clear consciousness
![Page 19: Motor symptoms and sign in psychiatry](https://reader036.vdocument.in/reader036/viewer/2022062310/58f9b173760da3da068bc0d4/html5/thumbnails/19.jpg)
• THANK YOU