Saturday, 10 October 2015

Dysdiadochokinesia | AIIMS MCQ for MD MS, Medical PG Preparations and Coaching .. NIME

Dysdiadochokinesia is an impairment of
A. Successive finger movements
B. Heel-to-toe walking
C. Rapid alternating movements
D. Tremor suppression



Ans. C.  Dysdiadochokinesia is usually apparent with cerebellar damage. It is most evident when strength and sensation are intact. Alternately tapping one side of the hand and then the other, or tapping the heel and then alternating with the toe of the foot, is the test usually employed to check this aspect of coordination. Multiple sclerosis in adults and cerebellar tumors in children are two of many causes of problems with this part of the neurologic examination. Focal lesions in the nervous system may produce highly asymmetric dysdiadochokinesia. A variety of movement disorders, such as parkinsonism and choreoathetosis, may interfere with rapid alternating movements and give the false impression that the patient has a lesion in systems solely responsible for coordination