DEFINITION AND CLASSIFICATION OF HYPERKINETIC MOVEMENTS IN CHILDHOOD
Identifieur interne : 002C28 ( Ncbi/Merge ); précédent : 002C27; suivant : 002C29DEFINITION AND CLASSIFICATION OF HYPERKINETIC MOVEMENTS IN CHILDHOOD
Auteurs : Terence D. Sanger ; Daofen Chen ; Darcy L. Fehlings ; Mark Hallett ; Anthony E. Lang ; Jonathan W. Mink ; Harvey Singer ; Katharine Alter ; Hilla Ben-Pazi ; Erin Butler ; Robert Chen ; Abigail Collins ; Sudarshan Dayanidhi ; Hans Forssberg ; Eileen Fowler ; Donald L. Gilbert ; Sharon L. Gorman ; Mark E. Gormley ; H. A. Jinnah ; Barbara Kornblau ; Kristin Krosschell ; Rebecca K. Lehman ; Colum Mackinnon ; C. J. Malanga ; Ronit Mesterman ; Margaret Barry Michaels ; Toni S. Pearson ; Jessica Rose ; Barry Russman ; Dagmar Sternad ; Kathy Swoboda ; Francisco Valero-CuevasSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- classification : Hyperkinesis.
- diagnosis : Hyperkinesis.
- Humans, Pediatrics.
Abstract
Hyperkinetic movements are unwanted or excess movements that are frequently seen in children with neurologic disorders. They are an important clinical finding with significant implications for diagnosis and treatment. However, the lack of agreement on standard terminology and definitions interferes with clinical treatment and research. We describe definitions of dystonia, chorea, athetosis, myoclonus, tremor, tics, and stereotypies that arose from a consensus meeting in June 2008 of specialists from different clinical and basic science fields. Dystonia is a movement disorder in which involuntary sustained or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both. Chorea is an ongoing random-appearing sequence of one or more discrete involuntary movements or movement fragments. Athetosis is a slow, continuous, involuntary writhing movement that prevents maintenance of a stable posture. M
Url:
DOI: 10.1002/mds.23088
PubMed: 20589866
PubMed Central: 2929378
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<author><name sortKey="Fowler, Eileen" sort="Fowler, Eileen" uniqKey="Fowler E" first="Eileen" last="Fowler">Eileen Fowler</name>
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<author><name sortKey="Gilbert, Donald L" sort="Gilbert, Donald L" uniqKey="Gilbert D" first="Donald L." last="Gilbert">Donald L. Gilbert</name>
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<author><name sortKey="Gorman, Sharon L" sort="Gorman, Sharon L" uniqKey="Gorman S" first="Sharon L." last="Gorman">Sharon L. Gorman</name>
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<author><name sortKey="Gormley, Mark E" sort="Gormley, Mark E" uniqKey="Gormley M" first="Mark E." last="Gormley">Mark E. Gormley</name>
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<author><name sortKey="Krosschell, Kristin" sort="Krosschell, Kristin" uniqKey="Krosschell K" first="Kristin" last="Krosschell">Kristin Krosschell</name>
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<author><name sortKey="Lehman, Rebecca K" sort="Lehman, Rebecca K" uniqKey="Lehman R" first="Rebecca K." last="Lehman">Rebecca K. Lehman</name>
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<author><name sortKey="Rose, Jessica" sort="Rose, Jessica" uniqKey="Rose J" first="Jessica" last="Rose">Jessica Rose</name>
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<author><name sortKey="Sternad, Dagmar" sort="Sternad, Dagmar" uniqKey="Sternad D" first="Dagmar" last="Sternad">Dagmar Sternad</name>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Hyperkinesis</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hyperkinesis</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">Hyperkinetic movements are unwanted or excess movements that are frequently seen in children with neurologic disorders. They are an important clinical finding with significant implications for diagnosis and treatment. However, the lack of agreement on standard terminology and definitions interferes with clinical treatment and research. We describe definitions of dystonia, chorea, athetosis, myoclonus, tremor, tics, and stereotypies that arose from a consensus meeting in June 2008 of specialists from different clinical and basic science fields. Dystonia is a movement disorder in which involuntary sustained or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both. Chorea is an ongoing random-appearing sequence of one or more discrete involuntary movements or movement fragments. Athetosis is a slow, continuous, involuntary writhing movement that prevents maintenance of a stable posture. M<underline>yoclonus</underline>
is a sequence of repeated, often non-rhythmic, brief shock-like jerks due to sudden involuntary contraction or relaxation of one or more muscles. Tremor is a rhythmic back-and-forth or oscillating involuntary movement about a joint axis. Tics are repeated, individually recognizable, intermittent movements or movement fragments that are almost always briefly suppressible and are usually associated with awareness of an urge to perform the movement. Stereotypies are repetitive, simple movements that can be voluntarily suppressed. We provide recommended techniques for clinical examination and suggestions for differentiating between the different types of hyperkinetic movements, noting that there may be overlap between conditions. These definitions and the diagnostic recommendations are intended to be reliable and useful for clinical practice, communication between clinicians and researchers, and for the design of quantitative tests that will guide and assess the outcome of future clinical trials.</p>
</div>
</front>
</TEI>
<double pmid="20589866"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">DEFINITION AND CLASSIFICATION OF HYPERKINETIC MOVEMENTS IN CHILDHOOD</title>
<author><name sortKey="Sanger, Terence D" sort="Sanger, Terence D" uniqKey="Sanger T" first="Terence D." last="Sanger">Terence D. Sanger</name>
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<author><name sortKey="Chen, Daofen" sort="Chen, Daofen" uniqKey="Chen D" first="Daofen" last="Chen">Daofen Chen</name>
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<author><name sortKey="Fehlings, Darcy L" sort="Fehlings, Darcy L" uniqKey="Fehlings D" first="Darcy L." last="Fehlings">Darcy L. Fehlings</name>
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<author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
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<author><name sortKey="Mink, Jonathan W" sort="Mink, Jonathan W" uniqKey="Mink J" first="Jonathan W." last="Mink">Jonathan W. Mink</name>
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<author><name sortKey="Dayanidhi, Sudarshan" sort="Dayanidhi, Sudarshan" uniqKey="Dayanidhi S" first="Sudarshan" last="Dayanidhi">Sudarshan Dayanidhi</name>
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<author><name sortKey="Forssberg, Hans" sort="Forssberg, Hans" uniqKey="Forssberg H" first="Hans" last="Forssberg">Hans Forssberg</name>
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<author><name sortKey="Fowler, Eileen" sort="Fowler, Eileen" uniqKey="Fowler E" first="Eileen" last="Fowler">Eileen Fowler</name>
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<author><name sortKey="Gilbert, Donald L" sort="Gilbert, Donald L" uniqKey="Gilbert D" first="Donald L." last="Gilbert">Donald L. Gilbert</name>
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<author><name sortKey="Gorman, Sharon L" sort="Gorman, Sharon L" uniqKey="Gorman S" first="Sharon L." last="Gorman">Sharon L. Gorman</name>
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<author><name sortKey="Gormley, Mark E" sort="Gormley, Mark E" uniqKey="Gormley M" first="Mark E." last="Gormley">Mark E. Gormley</name>
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<author><name sortKey="Jinnah, H A" sort="Jinnah, H A" uniqKey="Jinnah H" first="H. A." last="Jinnah">H. A. Jinnah</name>
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<author><name sortKey="Kornblau, Barbara" sort="Kornblau, Barbara" uniqKey="Kornblau B" first="Barbara" last="Kornblau">Barbara Kornblau</name>
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<author><name sortKey="Krosschell, Kristin" sort="Krosschell, Kristin" uniqKey="Krosschell K" first="Kristin" last="Krosschell">Kristin Krosschell</name>
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<author><name sortKey="Lehman, Rebecca K" sort="Lehman, Rebecca K" uniqKey="Lehman R" first="Rebecca K." last="Lehman">Rebecca K. Lehman</name>
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<author><name sortKey="Mackinnon, Colum" sort="Mackinnon, Colum" uniqKey="Mackinnon C" first="Colum" last="Mackinnon">Colum Mackinnon</name>
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<author><name sortKey="Russman, Barry" sort="Russman, Barry" uniqKey="Russman B" first="Barry" last="Russman">Barry Russman</name>
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<author><name sortKey="Sternad, Dagmar" sort="Sternad, Dagmar" uniqKey="Sternad D" first="Dagmar" last="Sternad">Dagmar Sternad</name>
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<author><name sortKey="Swoboda, Kathy" sort="Swoboda, Kathy" uniqKey="Swoboda K" first="Kathy" last="Swoboda">Kathy Swoboda</name>
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<author><name sortKey="Valero Cuevas, Francisco" sort="Valero Cuevas, Francisco" uniqKey="Valero Cuevas F" first="Francisco" last="Valero-Cuevas">Francisco Valero-Cuevas</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">DEFINITION AND CLASSIFICATION OF HYPERKINETIC MOVEMENTS IN CHILDHOOD</title>
<author><name sortKey="Sanger, Terence D" sort="Sanger, Terence D" uniqKey="Sanger T" first="Terence D." last="Sanger">Terence D. Sanger</name>
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<author><name sortKey="Fehlings, Darcy L" sort="Fehlings, Darcy L" uniqKey="Fehlings D" first="Darcy L." last="Fehlings">Darcy L. Fehlings</name>
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<author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
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<author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name>
</author>
<author><name sortKey="Mink, Jonathan W" sort="Mink, Jonathan W" uniqKey="Mink J" first="Jonathan W." last="Mink">Jonathan W. Mink</name>
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<author><name sortKey="Alter, Katharine" sort="Alter, Katharine" uniqKey="Alter K" first="Katharine" last="Alter">Katharine Alter</name>
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<author><name sortKey="Butler, Erin" sort="Butler, Erin" uniqKey="Butler E" first="Erin" last="Butler">Erin Butler</name>
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<author><name sortKey="Chen, Robert" sort="Chen, Robert" uniqKey="Chen R" first="Robert" last="Chen">Robert Chen</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<front><div type="abstract" xml:lang="en"><p id="P1">Hyperkinetic movements are unwanted or excess movements that are frequently seen in children with neurologic disorders. They are an important clinical finding with significant implications for diagnosis and treatment. However, the lack of agreement on standard terminology and definitions interferes with clinical treatment and research. We describe definitions of dystonia, chorea, athetosis, myoclonus, tremor, tics, and stereotypies that arose from a consensus meeting in June 2008 of specialists from different clinical and basic science fields. Dystonia is a movement disorder in which involuntary sustained or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both. Chorea is an ongoing random-appearing sequence of one or more discrete involuntary movements or movement fragments. Athetosis is a slow, continuous, involuntary writhing movement that prevents maintenance of a stable posture. M<underline>yoclonus</underline>
is a sequence of repeated, often non-rhythmic, brief shock-like jerks due to sudden involuntary contraction or relaxation of one or more muscles. Tremor is a rhythmic back-and-forth or oscillating involuntary movement about a joint axis. Tics are repeated, individually recognizable, intermittent movements or movement fragments that are almost always briefly suppressible and are usually associated with awareness of an urge to perform the movement. Stereotypies are repetitive, simple movements that can be voluntarily suppressed. We provide recommended techniques for clinical examination and suggestions for differentiating between the different types of hyperkinetic movements, noting that there may be overlap between conditions. These definitions and the diagnostic recommendations are intended to be reliable and useful for clinical practice, communication between clinicians and researchers, and for the design of quantitative tests that will guide and assess the outcome of future clinical trials.</p>
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<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Definition and classification of hyperkinetic movements in childhood.</title>
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<wicri:regionArea>Deptartments of Biomedical Engineering, Biokinesiology, and Neurology, University of Southern California, Los Angeles, California 90089-1111</wicri:regionArea>
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<author><name sortKey="Chen, Daofen" sort="Chen, Daofen" uniqKey="Chen D" first="Daofen" last="Chen">Daofen Chen</name>
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<author><name sortKey="Fehlings, Darcy L" sort="Fehlings, Darcy L" uniqKey="Fehlings D" first="Darcy L" last="Fehlings">Darcy L. Fehlings</name>
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<author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
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<author><name sortKey="Alter, Katharine" sort="Alter, Katharine" uniqKey="Alter K" first="Katharine" last="Alter">Katharine Alter</name>
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<author><name sortKey="Ben Pazi, Hilla" sort="Ben Pazi, Hilla" uniqKey="Ben Pazi H" first="Hilla" last="Ben-Pazi">Hilla Ben-Pazi</name>
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<author><name sortKey="Butler, Erin E" sort="Butler, Erin E" uniqKey="Butler E" first="Erin E" last="Butler">Erin E. Butler</name>
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<author><name sortKey="Chen, Robert" sort="Chen, Robert" uniqKey="Chen R" first="Robert" last="Chen">Robert Chen</name>
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<author><name sortKey="Collins, Abigail" sort="Collins, Abigail" uniqKey="Collins A" first="Abigail" last="Collins">Abigail Collins</name>
</author>
<author><name sortKey="Dayanidhi, Sudarshan" sort="Dayanidhi, Sudarshan" uniqKey="Dayanidhi S" first="Sudarshan" last="Dayanidhi">Sudarshan Dayanidhi</name>
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<author><name sortKey="Forssberg, Hans" sort="Forssberg, Hans" uniqKey="Forssberg H" first="Hans" last="Forssberg">Hans Forssberg</name>
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<author><name sortKey="Fowler, Eileen" sort="Fowler, Eileen" uniqKey="Fowler E" first="Eileen" last="Fowler">Eileen Fowler</name>
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<author><name sortKey="Gilbert, Donald L" sort="Gilbert, Donald L" uniqKey="Gilbert D" first="Donald L" last="Gilbert">Donald L. Gilbert</name>
</author>
<author><name sortKey="Gorman, Sharon L" sort="Gorman, Sharon L" uniqKey="Gorman S" first="Sharon L" last="Gorman">Sharon L. Gorman</name>
</author>
<author><name sortKey="Gormley, Mark E" sort="Gormley, Mark E" uniqKey="Gormley M" first="Mark E" last="Gormley">Mark E. Gormley</name>
</author>
<author><name sortKey="Jinnah, H A" sort="Jinnah, H A" uniqKey="Jinnah H" first="H A" last="Jinnah">H A Jinnah</name>
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<author><name sortKey="Kornblau, Barbara" sort="Kornblau, Barbara" uniqKey="Kornblau B" first="Barbara" last="Kornblau">Barbara Kornblau</name>
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<author><name sortKey="Krosschell, Kristin J" sort="Krosschell, Kristin J" uniqKey="Krosschell K" first="Kristin J" last="Krosschell">Kristin J. Krosschell</name>
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<author><name sortKey="Malanga, C J" sort="Malanga, C J" uniqKey="Malanga C" first="C J" last="Malanga">C J Malanga</name>
</author>
<author><name sortKey="Mesterman, Ronit" sort="Mesterman, Ronit" uniqKey="Mesterman R" first="Ronit" last="Mesterman">Ronit Mesterman</name>
</author>
<author><name sortKey="Michaels, Margaret Barry" sort="Michaels, Margaret Barry" uniqKey="Michaels M" first="Margaret Barry" last="Michaels">Margaret Barry Michaels</name>
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<author><name sortKey="Pearson, Toni S" sort="Pearson, Toni S" uniqKey="Pearson T" first="Toni S" last="Pearson">Toni S. Pearson</name>
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<author><name sortKey="Russman, Barry S" sort="Russman, Barry S" uniqKey="Russman B" first="Barry S" last="Russman">Barry S. Russman</name>
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<author><name sortKey="Valero Cuevas, Francisco" sort="Valero Cuevas, Francisco" uniqKey="Valero Cuevas F" first="Francisco" last="Valero-Cuevas">Francisco Valero-Cuevas</name>
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<author><name sortKey="Fehlings, Darcy L" sort="Fehlings, Darcy L" uniqKey="Fehlings D" first="Darcy L" last="Fehlings">Darcy L. Fehlings</name>
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<author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
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<author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name>
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<author><name sortKey="Mink, Jonathan W" sort="Mink, Jonathan W" uniqKey="Mink J" first="Jonathan W" last="Mink">Jonathan W. Mink</name>
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<author><name sortKey="Singer, Harvey S" sort="Singer, Harvey S" uniqKey="Singer H" first="Harvey S" last="Singer">Harvey S. Singer</name>
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<author><name sortKey="Alter, Katharine" sort="Alter, Katharine" uniqKey="Alter K" first="Katharine" last="Alter">Katharine Alter</name>
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<author><name sortKey="Ben Pazi, Hilla" sort="Ben Pazi, Hilla" uniqKey="Ben Pazi H" first="Hilla" last="Ben-Pazi">Hilla Ben-Pazi</name>
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<author><name sortKey="Chen, Robert" sort="Chen, Robert" uniqKey="Chen R" first="Robert" last="Chen">Robert Chen</name>
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<author><name sortKey="Dayanidhi, Sudarshan" sort="Dayanidhi, Sudarshan" uniqKey="Dayanidhi S" first="Sudarshan" last="Dayanidhi">Sudarshan Dayanidhi</name>
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<author><name sortKey="Gorman, Sharon L" sort="Gorman, Sharon L" uniqKey="Gorman S" first="Sharon L" last="Gorman">Sharon L. Gorman</name>
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<author><name sortKey="Jinnah, H A" sort="Jinnah, H A" uniqKey="Jinnah H" first="H A" last="Jinnah">H A Jinnah</name>
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<author><name sortKey="Kornblau, Barbara" sort="Kornblau, Barbara" uniqKey="Kornblau B" first="Barbara" last="Kornblau">Barbara Kornblau</name>
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<front><div type="abstract" xml:lang="en">Hyperkinetic movements are unwanted or excess movements that are frequently seen in children with neurologic disorders. They are an important clinical finding with significant implications for diagnosis and treatment. However, the lack of agreement on standard terminology and definitions interferes with clinical treatment and research. We describe definitions of dystonia, chorea, athetosis, myoclonus, tremor, tics, and stereotypies that arose from a consensus meeting in June 2008 of specialists from different clinical and basic science fields. Dystonia is a movement disorder in which involuntary sustained or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both. Chorea is an ongoing random-appearing sequence of one or more discrete involuntary movements or movement fragments. Athetosis is a slow, continuous, involuntary writhing movement that prevents maintenance of a stable posture. Myoclonus is a sequence of repeated, often nonrhythmic, brief shock-like jerks due to sudden involuntary contraction or relaxation of one or more muscles. Tremor is a rhythmic back-and-forth or oscillating involuntary movement about a joint axis. Tics are repeated, individually recognizable, intermittent movements or movement fragments that are almost always briefly suppressible and are usually associated with awareness of an urge to perform the movement. Stereotypies are repetitive, simple movements that can be voluntarily suppressed. We provide recommended techniques for clinical examination and suggestions for differentiating between the different types of hyperkinetic movements, noting that there may be overlap between conditions. These definitions and the diagnostic recommendations are intended to be reliable and useful for clinical practice, communication between clinicians and researchers, and for the design of quantitative tests that will guide and assess the outcome of future clinical trials.</div>
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