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Alterations in Muscle Tone lll01:11

Alterations in Muscle Tone lll

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Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...
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Parkinson Disease ll: Pathophysiology01:24

Parkinson Disease ll: Pathophysiology

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Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...
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Parkinson's Disease: Overview01:15

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Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
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Alterations in Muscle Tone ll01:12

Alterations in Muscle Tone ll

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Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
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Parkinson Disease l: Introduction01:24

Parkinson Disease l: Introduction

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Parkinson’s disease is a chronic, progressive neurodegenerative disorder that primarily affects movement. It is characterized by motor symptoms such as resting tremors, muscle rigidity, bradykinesia (slowness of movement), and postural instability. Patients may notice hand tremors at rest, stiffness during movement, or a shuffling gait. In addition to motor features, non-motor symptoms include sleep disturbances, mood and behavioral changes, constipation, and cognitive impairment, all of...
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Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

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Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
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Related Experiment Video

Updated: May 7, 2026

MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
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Tremor in Multiple System Atrophy - a review.

Christine Kaindlstorfer1, Roberta Granata, Gregor Karl Wenning

  • 1Division of Neurobiology, Department of Neurology, Medical University Innsbruck, Innsbruck, Austria.

Tremor and Other Hyperkinetic Movements (New York, N.Y.)
|October 12, 2013
PubMed
Summary
This summary is machine-generated.

Tremor is a common and often underrecognized symptom in Multiple System Atrophy (MSA), affecting up to 80% of patients. Various tremor types, including jerky postural tremor, can be present, complicating diagnosis compared to Parkinson's disease.

Keywords:
Multiple system atrophyParkinson's diseasetremor

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Area of Science:

  • Neurology
  • Neurodegenerative Diseases
  • Movement Disorders

Background:

  • Multiple system atrophy (MSA) is a rare, rapidly progressive neurodegenerative disorder.
  • Clinical overlap with Parkinson's disease (PD) poses diagnostic challenges.
  • Prevalence and specific features of tremor in MSA are not well-understood.

Purpose of the Study:

  • To investigate the prevalence and characteristics of tremor in Multiple System Atrophy (MSA).
  • To differentiate tremor patterns in MSA from those typically seen in Parkinson's disease (PD).

Main Methods:

  • A comprehensive literature search was conducted using PubMed.
  • Studies published between 1900 and 2013 focusing on tremor in MSA were included.

Main Results:

  • Tremor is highly prevalent in MSA, observed in up to 80% of patients, particularly in the parkinsonian variant.
  • Postural tremor (often jerky, with minipolymyoclonus) affects about 50%, while resting tremor is less common (33%) and typically not "pill-rolling" like in PD.
  • MSA patients can exhibit multiple tremor types due to complex basal ganglia and pontocerebellar pathology.

Conclusions:

  • Tremor is a frequent and potentially underrecognized feature of MSA.
  • Rest, postural, action, and intention tremors can occur, with jerky hand tremors being characteristic.
  • Further research is needed to refine tremor criteria in MSA diagnosis.