Crooked deformity of the hand

Introduction

Introduction Muscle stiffness and slow and irregular torsional movements of the hands and feet. It can occur at any age and can occur for both men and women. The episodic exercise-derived dance of hand-foot and acrodynamics has an average onset age of 8.8 years and the incidence rate for men and women is about 4:1. Different types of causes, such as paroxysmal dystonic choreoathetosis (PDC), are rare hereditary dyskinesias. Paroxysmal kinesigenic choreoathetosis (PKC) is a rare dyskinesia disease that is often induced by exercise and sometimes associated with diffuse or focal brain injury. It is also considered to be epilepsy. In one form, anti-epileptic treatment is effective because of similar causes of seizures.

Cause

Cause

Causes: Common causes of arrhythmia: 1 hereditary or familial: mostly autosomal recessive, rare; 2 cerebrovascular accident; 3 intracranial infection; 4 drugs; 5 cerebral palsy: various Causes of cerebral palsy may appear hand and foot hyperactivity; 6 high cervical spinal cord lesions.

Different types of causes, such as paroxysmal dystonic choreoathetosis (PDC), are rare hereditary dyskinesias. Paroxysmal kinesigenic choreoathetosis (PKC) is a rare dyskinesia disease that is often induced by exercise and sometimes associated with diffuse or focal brain injury. It is also considered to be epilepsy. In one form, anti-epileptic treatment is effective because of similar causes of seizures.

Examine

an examination

Related inspection

CT examination EEG examination

Diagnosis: Hand and foot hyperactivity disorder, also known as stroke movement, variability. For a intermittent, slow, irregular hand and foot twisting motion. The muscle tension is fickle, the muscle tension is increased at the tendon, and the muscle tension is reduced when the muscle is relaxed. Therefore, the disease is also called a variable sputum. Refers to the movement. Hand and foot hyperactivity disorder occurs mainly during voluntary exercise. It often disappears when it is quiet. It is enhanced when it is excited. Its position is uncertain. It is obvious at the distal end of the extremities. It can invade the facial muscles and even spread to the whole body or the whole body. The joints are excessively stretched or adducted, the wrists are slowly flexed or stretched, the forearms are pre- or post-rotation, the upper arms are retracted or retracted to the chest, the metacarpophalangeal joints are excessively stretched, and the fingers are twisted and can be "Buddha" Special posture. Such as affecting the face can appear a series of "grimace", such as the emergence of lower limbs, visible toe flexion and extension, ankle joint flexion and extension, toe open fan, straight out pseudo Babinski sign. The most common cause is neonatal asphyxia, nuclear jaundice, accompanied by stunting, and the time to walk and talk is delayed. Adults occasionally appear in the basal ganglia vascular lesions, tumors, chronic hepatic encephalopathy, can also be caused by antipsychotic drug overdose.

Diagnosis

Differential diagnosis

Differential diagnosis of hand twist deformity:

1, the disease should be distinguished from pseudo-hand and foot akines. The latter is caused by the loss of position of the limb with a combination of frontal, posterior and lateral column damage or peripheral nerve damage.

2, very slow hand and foot Xu movement: resulting in abnormal posture is quite similar to twisting sputum, the latter mainly invades the proximal limb, neck muscle and trunk muscle, the typical performance is torsion as the axis.

3, should pay attention to the identification of dance - hand and foot hyperactivity and other clinical types, dance - hand and foot hyperactivity disorder patients with a wide range of involuntary movements in the limbs, trunk and face, showing coarse, variable and rapid beating.

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