61-Year-Old Woman With Tardive Dyskinesia Displaying Stereotypy in the Toes, 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!

Yes: The movements in the video are consistent with TD and should be rated on the AIMS.

Incorrect!

Yes: The movements in the video are consistent with TD and should 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 exhibits repetitive, patterned toe movements that would be characterized as stereotypy. Although they are rhythmic, the frequency is slow for tremor and the movements do not oscillate around a joint as tremor would. These movements are consistent with tardive dyskinesia and would be rated on the AIMS.

jonathan-m-meyer

Jonathan M. Meyer

MD

Professor

Voluntary Clinical

Department of Psychiatry

University of California San Diego ​

La Jolla, CA

The repetitive “clenching” toe movements are somewhat rhythmic, but the frequency and manner of presentation are not consistent with a parkinsonian tremor; moreover, they do not appear to be manifestations of akathisia since the patient denies restlessness. These movements would be classified as stereotypies and are consistent with tardive dyskinesia and should be scored on the AIMS.

richard-m-trosch

Richard M. Trosch

MD

Associate Professor

Department of Neurology

Oakland University Medical School

Rochester, MI

This patient has repetitive, stereotypical toe movements (“piano-playing” toes) without any subjective restlessness. This is consistent with tardive dyskinesia and would be scored on the AIMS.


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