Hyperkinetic Dysarthria

Question 1

Choose one: Extrapyramidal or Pyramidal = lesions in the basal ganglia circuit?

Answer 1

Extrapyramidal

Question 2

Lesions in the basal ganglia circuit mainly affects which subsystem(s).

Answer 2

-Prosody

Question 3

Lesions in the basal ganglia cause what kind of speech characteristics?

Answer 3

Abnormal, rhythmic (reg or irreg), and unpredictable, rapid or slow involuntary movements.

Question 4

T/F: A pt with Hyperkinetic Dys is most likely going to have involuntary movements.

Answer 4

TRUE

Question 5

T/F: Abnormal movements may only be present during speech.

Answer 5

TRUE

Question 6

Abnormal movements may be the result of?

Answer 6

• A failure to inhibit cortical motor discharges.
• Also, there may be firing from the thalamus that isn’t inhibited causing these movements.
• There may be an imbalance between the excitatory and inhibitory neurotransmitters.

Question 7

Which is excitatory and which is inhibitory?

• ACH
• Dopamine

Answer 7

• ACH=excitatory

- Dopamine=Inhibitory

Question 8

T/F: The term hyper in Hyperkinetic means too fast speed in movements.

Answer 8

FALSE: It means movements that don’t belong, extra movements.

Voluntary movements of these pts may be SLOW

Question 9

What is dyskinesia?

Answer 9

• A term which refers to abnormal, hyperkinetic, involuntary movements.
• A general term for abnormal movement.

Question 10

Dyskinesias occurring in the mouth, tongue or jaw are called?

Answer 10

Orofacial dyskinesias