Fabiana Colucci1, Vanessa Carvalho2, Cristina Gonzalez-Robles3, Kailash P Bhatia3, Eoin Mulroy3. 1. Clinical and Biological Sciences Department, Neurology Unit San Luigi Gonzaga Hospital Turin Italy. 2. Department of Neurology Hospital Pedro Hispano/Unidade Local de Saúde de Matosinhos Matosinhos Portugal. 3. Department of Clinical and Movement Neurosciences UCL Queen Square Institute of Neurology London United Kingdom.
Abstract
BACKGROUND: Movement disorders affecting the trunk remain a diagnostic challenge even for experienced clinicians. However, despite being common and debilitating, truncal movement disorders are rarely discussed and poorly reviewed in the medical literature. OBJECTIVES: To review common movement disorders affecting the trunk and provide an approach for clinicians based on the truncal region involved (shoulder, chest, diaphragm, abdomen, pelvis, and axial disorders). For each disorder, clinical presentation, etiologic differential diagnosis, and "clinical clues" are discussed. CONCLUSION: This review provides a clinically focused, practical approach to truncal movement disorders, which will be helpful for physicians in everyday practice.
BACKGROUND: Movement disorders affecting the trunk remain a diagnostic challenge even for experienced clinicians. However, despite being common and debilitating, truncal movement disorders are rarely discussed and poorly reviewed in the medical literature. OBJECTIVES: To review common movement disorders affecting the trunk and provide an approach for clinicians based on the truncal region involved (shoulder, chest, diaphragm, abdomen, pelvis, and axial disorders). For each disorder, clinical presentation, etiologic differential diagnosis, and "clinical clues" are discussed. CONCLUSION: This review provides a clinically focused, practical approach to truncal movement disorders, which will be helpful for physicians in everyday practice.
Authors: Sarosh R Irani; Andrew W Michell; Bethan Lang; Philippa Pettingill; Patrick Waters; Michael R Johnson; Jonathan M Schott; Richard J E Armstrong; Alessandro S Zagami; Andrew Bleasel; Ernest R Somerville; Shelagh M J Smith; Angela Vincent Journal: Ann Neurol Date: 2011-03-17 Impact factor: 10.422