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What is the difference between akinesia and dyskinesia?

Published in Neurology 2 mins read

Akinesia is the absence or difficulty initiating movement, while dyskinesia involves involuntary and uncontrolled movements.

Here's a more detailed breakdown:

Akinesia

Akinesia refers to the impairment or loss of voluntary movement. It's not simply weakness, but a difficulty in initiating and executing movements. Individuals with akinesia struggle to start moving even when they want to.

  • Key Characteristic: Absence or difficulty initiating movement.
  • Mechanism: Often related to basal ganglia dysfunction, impacting motor control.
  • Example: A person struggling to start walking or having a "frozen" posture.

Dyskinesia

Dyskinesia describes a category of movement disorders characterized by involuntary, erratic, and uncontrolled movements. These movements can vary in type and severity.

  • Key Characteristic: Involuntary, uncontrolled movements.
  • Types: Dyskinesias can manifest as tremors, tics, chorea (dance-like movements), athetosis (writhing movements), dystonia (sustained muscle contractions), and myoclonus (sudden jerks).
  • Mechanism: Often related to issues with dopamine pathways in the brain.
  • Example: Tremors in Parkinson's disease, uncontrolled movements after long-term use of levodopa, or the tics associated with Tourette's syndrome.

Akinesia vs. Dyskinesia: A Comparison

Feature Akinesia Dyskinesia
Movement Absence or difficulty initiating movement Involuntary, uncontrolled movements
Nature Lack of movement Excess of unwanted movement
Examples Freezing, difficulty starting to walk Tremors, tics, chorea, dystonia

In summary, akinesia is a lack of movement or difficulty initiating movement, while dyskinesia refers to involuntary and uncontrolled movements. They are distinct but can sometimes coexist in certain neurological conditions.

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