| 词条 | Pseudoathetosis |
| 释义 |
| name = Pseudoathetosis | synonyms = | image = | caption = | pronounce = | field = neurology | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} Pseudoathetosis is abnormal writhing movements, usually of the fingers, caused by a failure of joint position sense (proprioception)[1] and indicates disruption of the proprioceptive pathway, from nerve to parietal cortex. PresentationAnalogous to Romberg's sign, the abnormal posturing is most pronounced when the eyes are closed as visual inputs are unavailable to guide corrective movements. Paradoxically, eye closure may decrease the amount of movement as the visual cues probably trigger corrective movements which return the limb to the desired "baseline" allowing a new phase of involuntary drift before a subsequent corrective phase occurs.{{citation needed|date=March 2019}} VariantsHemipseudaoathetosis refers to pseudoathetosis on one side of the body, usually the upper limb and is most commonly caused by a lesion affecting the cuneate tract or cuneate nucleus in the cervical spine or lower brainstem (medulla) respectively.[2][3] DiagnosisDifferential diagnosisIt may be mistaken for choreoathetosis, however, these abnormal movements are relatively constant irrespective of whether the eyes are open or closed and occur in the absence of proprioceptive loss. References1. ^{{cite journal |vauthors=Spitz M, Costa Machado AA, Carvalho Rdo C, etal |title=Pseudoathetosis: report of three patients |journal=Mov. Disord. |volume=21 |issue=9 |pages=1520–2 |year=2006 |pmid=16817195 |doi=10.1002/mds.21014}} 2. ^{{cite journal |vauthors=Gotkine M, Gomori JM |title=Hemipseudoathetosis due to a hemorrhage at the cervicomedullary junction |journal=Neurology |volume=69 |issue=15 |pages=1551 |year=2007 |pmid=17923617 |doi=10.1212/01.wnl.0000285506.04246.c2}} 3. ^{{cite journal |vauthors=Ghika J, Bogousslavsky J |title=Spinal pseudoathetosis: a rare, forgotten syndrome, with a review of old and recent descriptions |journal=Neurology |volume=49 |issue=2 |pages=432–7 |year=1997 |pmid=9270573 |doi=10.1212/wnl.49.2.432}} External links{{Medical resources| DiseasesDB = 30711 | ICD10 = | ICD9 = | ICDO = | OMIM = | MedlinePlus = | eMedicineSubj = | eMedicineTopic = | MeshID = }}
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