Jamir Pitton Rissardo Profile picture
MD 🇧🇷 @UFSM_oficial @CooperNeuroRes | Neurology 🧠 | Writer ✍️ | Reviewer | Illustrator | Guitarist ♬🎸 World J Clin Cases editorial board member.

Nov 6, 2022, 25 tweets

The dysfunctional little brain!!!
Part I

“regulates ‘rate, range, and force’ of movement”

Irish neurologist Gordon Morgan Holmes (1876–1965)

#MedTwitter #neurotwitter #EndNeurophobia

1/

Dyssynergia

“lack of integration of the components of the act results in decomposition of movement”

- rapid ‘repetitive’ movement

via: Dr Timothy Conwell

2/

Dyssynergia

“lack of integration of the components of the act results in decomposition of movement”

- rapid ‘repetitive’ movement

via: MatthewHR1

3/

Dysmetria

“errors in judging distance and gauging the distance, speed, power, and direction of movement”

- past pointing
- hypermetria is more common

via: onlinemedicalvideo

4/

Dysmetria

“errors in judging distance and gauging the distance, speed, power, and direction of movement”

via: Dr Hashir Malik

5/

Dysmetria

“errors in judging distance and gauging the distance, speed, power, and direction of movement”

via: MatthewHR1

6/

Dysmetria

- clear instructions
- finger & foot
- index near & far

via: UCD Medicine

7/

Dysmetria

“errors in judging distance and gauging the distance, speed, power, and direction of movement”

- modified to chin test

via: Adrienne Jackson

8/

Dysmetria

“errors in judging distance and gauging the distance, speed, power, and direction of movement”

via: Mamata Chimmalgi

9/

Dysdiadochokinesia

“clumsy term (coined by Babinski) that means inability to make rapid ‘alternating’ movement”

- antagonist-agonist coordination

youtube.com/c/DrTimothyCon… via: Dr Timothy Conwell

10/

Dysdiadochokinesia

“clumsy term (coined by Babinski) that means inability to make rapid ‘alternating’ movement”

- antagonist-agonist coordination

via: Neuron Bundle

11/

Dysdiadochokinesia

“clumsy term (coined by Babinski) that means inability to make rapid ‘alternating’ movement”

- antagonist-agonist coordination

via: MatthewHR1

12/

Dysdiadochokinesia Song

Dysdiadochokinesia
indicates a cerebellar lesion
rapid alternating movements
thigh, hand and foot tapping

via: Sthornhil

13/

Holmes (Stewart-Holmes) rebound phenomenon

“reflex when one attempts to move a limb against resistance that is suddenly removed”

- antagonist-agonist coordination
- loss of checking response
- normal, spasticity, cerebellar

via: Mamata Chimmalgi

14/

Holmes (Stewart-Holmes) rebound phenomenon

“reflex that occurs when one attempts to move a limb against resistance that is suddenly removed”

- loss of checking response

youtube.com/shorts/iN5YbmY… via: Dr.Pawan Soni

15/

Holmes (Stewart-Holmes) rebound phenomenon

“reflex that occurs when one attempts to move a limb against resistance that is suddenly removed”

- checking response

via: UCD Medicine

16/

Pendular reflex

“muscle hypotonicity and the lack of normal checking of the reflex response”

- hypotonia
- decrease tonic output of the cerebellar nuclei

via: Mamata Chimmalgi

17/

Pendular reflex

“muscle hypotonicity and the lack of normal checking of the reflex response”

- hypotonia
- decrease tonic output of the cerebellar nuclei

via: Real Medicine

18/

Pendular reflex

“muscle hypotonicity and the lack of normal checking of the reflex response”

- hypotonia
- decrease tonic output of the cerebellar nuclei

via: sthornhil

19/

Cerebellar wrist

- hypotonia
- extended and arched dorsally
- fingers hyperextended
- tendency toward overpronation

20/

Scanning speech

“slow, slurred, staccato, monotonous”

- ataxic dysarthria and/or MS dysarthria
- oral motor ataxia
- speech asynergy

via: allornonelaw

21/

Scanning speech

“slow, slurred, staccato, monotonous”

- ataxic dysarthria and/or MS dysarthria
- oral motor ataxia
- speech asynergy

via: neuro by neurologist rids

22/

Scanning speech

“slow, slurred, staccato, monotonous”

- ataxic dysarthria and/or MS dysarthria
- oral motor ataxia
- speech asynergy

via: prohealthsys

23/

Scanning speech

“slow, slurred, staccato, monotonous”

- ataxic dysarthria and/or MS dysarthria
- oral motor ataxia
- speech asynergy

via: UCD Medicine

24/

To be continued…

Part 2 – Next week

List of "Twitter Threads"

neuronland.blogspot.com

25/

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