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Movimiento espasmódico o impredecible - Treatment

Nombres alternativos

Movimientos corporales espasmódicos; Corea; Movimientos musculares espasmódicos (incontrolables); Movimientos hipercinéticos

Cuidados en el hogar:

El tratamiento apunta hacia la causa de los movimientos.

  • Si los movimientos se deben a un medicamento, éste se debe suspender en la medida de lo posible.
  • Si los movimientos se deben a un problema de salud, el trastorno se debe tratar.
  • Si los movimientos son intensos y afectan la vida de la persona, medicamentos como la amantidina o la tetrabenazina pueden ayudar a controlarlos.

El reposo mejora el corea, mientras que la excitación y la fatiga pueden empeorarlo. Trate de reducir el estrés emocional.

Se deben tomar también medidas de seguridad para prevenir una lesión a causa de los movimientos involuntarios.

Cuándo contactar a un profesional médico:

Consulte con el médico si tiene movimientos corporales inexplicables que son impredecibles y no desaparecen.

Lo que se puede esperar en el consultorio médico:

El médico elaborará la historia clínica y llevará a cabo un examen físico.

Algunas de las preguntas de la historia clínica pueden ser:

  • ¿Qué tipo de movimiento se presenta?
  • ¿Qué parte del cuerpo está afectada?
  • ¿Qué otros síntomas se presentan?
  • ¿Hay irritabilidad?
  • ¿Hay debilidad o parálisis?
  • ¿Se experimenta inquietud?
  • ¿Se presenta inestabilidad emocional?
  • ¿Se presentan tics faciales?

El médico puede hacer una evaluación detallada de los sistemas nervioso y muscular. Los exámenes que pueden llevarse a cabo abarcan:

Los movimientos impredecibles se pueden tratar con diversos medicamentos. Esto lo decidirá el médico con base en los síntomas y signos.

  • Reviewed last on: 2/5/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Joseph V. Campellone, MD, Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Jankovic J, Lang AE. Movement disorders: diagnosis and assessment. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Bradley: Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 23.

Lang A. Other movement disorders. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 434.

Subramony SH. Ataxic disorders. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Bradley: Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 22.

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