For mental health professional and medical student

1. Motor symptoms and sign in
Psychiatry
Dr.Md. Gias Uddin Sagor
MBBS;M PHIL (Psychiatry)
Associate Professor & Head
Dept . of Psychiatry
CMOSHMC.

2. Motor symptoms and sign in psychiatry
• Tics
• Mannerisms
• Stereotypes
• Catatonia
• Catalepsy
• Posturing
• Grimacing
• Schauzkrampf
• Negativism
• Echopraxia
• Mitgehen
• Ambitentendence
• Stupor

3. Tics
• Irregular repeated
movements
involving group of
muscles.
Irregular
repeated
movements
involving group
of muscles.

4. Mannerism
• Repeated
movements that
appear to have
some functional
significance.

5. Stereotypes
• Repeated movements
that are regular(un like
tics) and without obvious
significance(unlike
mannerism).

6. Tourette syndrome (TS)
• Neurological disorder characterized by
repetitive, stereotyped, involuntary
movements and vocalizations called Tourette
syndrome (TS)

7. Catatonia
• State of increased
muscle tone affecting
extension and flexion
abolished by voluntary
movements.

8. Catalepsy
• Describe the tonus in
catatonia.
• It is detected when a
patients limb can be placed
in a position in which they
then remain for long periods
whilst at the same time
muscle tone is uniformly
increased.

9. Cataplexy
• Sudden and transient episode
of muscle weakness
accompanied by full conscious
awareness, typically triggered
by emotions such as laughing,
crying, terror, etc

10. Narcolepsy
• Irresistible attack
of sleep

11. Posturing
• Adoption of unusual
bodily postures
continuously for a
long time.

12. Grimacing
• Same meaning as
in everyday
speech.

13. Schautzkramp
• Pouting of the lips
to bring them
closer to the nose.

14. Negativism
• Do the opposite what is
asked and actively
resist efforts to
persuade them to
comply.

15. Echopraxia
• Imitation of the
interviewers movement
automatically even when
asked not to do.

16. Mitgehen
• Excessive
compliance.
• Patients limb can be
moved into any
position with the
slightest pressure.

17. Ambitendence
• Simultaneous
contradictory movement.

18. Stupor
• Patient is immobile
• Mute
• Unresponsive
• But appears to fully conscious in
that eyes are usually open and
follow external objects.
• If the eyes are closed , the
patient resists attempts to open
them.
• Psychomotor retardation with
clear consciousness

19. • THANK YOU