Motor symptoms and sign in Psychiatry

Dr.Md. Gias Uddin Sagor MBBS;M PHIL (Psychiatry)Associate Professor & Head

Dept . of PsychiatryCMOSHMC.

Motor symptoms and sign in psychiatry

• Tics• Mannerisms• Stereotypes• Catatonia• Catalepsy• Posturing• Grimacing• Schauzkrampf• Negativism• Echopraxia• Mitgehen• Ambitentendence• Stupor

Tics

• Irregular repeated movements involving group of muscles.

Irregular repeated movements involving group of muscles.

Mannerism

• Repeated movements that appear to have some functional significance.

Stereotypes

• Repeated movements that are regular(un like tics) and without obvious significance(unlike mannerism).

Tourette syndrome (TS)

• Neurological disorder characterized by repetitive, stereotyped, involuntary movements and vocalizations called Tourette syndrome (TS)

Catatonia

• State of increased muscle tone affecting extension and flexion abolished by voluntary movements.

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.

Cataplexy

• Sudden and transient episode of muscle weakness accompanied by full conscious awareness, typically triggered by emotions such as laughing, crying, terror, etc

Narcolepsy

• Irresistible attack of sleep

Posturing

• Adoption of unusual bodily postures continuously for a long time.

Grimacing

• Same meaning as in everyday speech.

Schautzkramp

• Pouting of the lips to bring them closer to the nose.

Negativism

• Do the opposite what is asked and actively resist efforts to persuade them to comply.

Echopraxia

• Imitation of the interviewers movement automatically even when asked not to do.

Mitgehen

• Excessive compliance.

• Patients limb can be moved into any position with the slightest pressure.

Ambitendence

• Simultaneous contradictory movement.

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

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