65-Year-Old Woman With Drug-Induced Parkinsonism Showing Tongue Tremor, Video

This video features a brief clip from an HCP-patient interaction and is not a complete formal exam.

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Would you count the movement(s) highlighted in the video toward this patient’s AIMS score?








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Correct!

No: The movements in the video are not consistent with TD and should not be rated on the AIMS.

Incorrect!

No: The movements in the video are not consistent with TD and should not be rated on the AIMS.

Expert Faculty Commentary

robert-hauser

Robert A. Hauser

MD, MBA, FAAN

Professor
Department of Neurology
Director
Parkinson's Disease and Movement Disorders Center
University of South Florida

Tampa, FL

This patient has a tongue tremor that should not be included in AIMS rating. The tremor is a classic 3-4 Hz parkinsonian tremor reflective of a low dopamine state and should not be mistaken for tardive dyskinesia.

jonathan-m-meyer

Jonathan M. Meyer

MD

Professor

Voluntary Clinical

Department of Psychiatry

University of California San Diego ​

La Jolla, CA

The rhythmicity of the tongue movement shown here is not characteristic of TD but is characteristic of a classic parkinsonian tremor with frequency of 3-4 Hz. This should not be rated on the AIMS.

richard-m-trosch

Richard M. Trosch

MD

Associate Professor

Department of Neurology

Oakland University Medical School

Rochester, MI

This patient has a rapid tongue tremor, suppressed with volitional movement. Her blink rate is diminished, and she has facial masking. These symptoms are parkinsonian, and therefore, an AIMS scale is not appropriate for this patient.


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