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The word paroxysm means 'sudden attack, outburst' [2] and comes from Greek παροξυσμÏŒς (paroxusmós) 'irritation, exasperation'. [ 3 ] Paroxysmal attacks in various disorders have been reported extensively, and ephaptic coupling of demyelinated nerves has been presumed as one of the underlying mechanisms of this phenomenon.
Asterixis (more colloquially referred to as flapping tremor) is not actually a tremor, but rather a negative myoclonus.This movement disorder is characterized by an inability to maintain a position, which is demonstrated by jerking movements of the outstretched hands when bent upward at the wrist (which can be similar to a bird flapping its wings, hence the name "flapping tremor").
The causes of hypnic jerk are yet unclear and under study. None of the several theories that have attempted to explain it have been fully accepted. [ 9 ] One hypothesis posits that the hypnic jerk is a form of reflex , initiated in response to normal bodily events during the lead-up to the first stages of sleep, including a decrease in blood ...
Symptoms may include shaking, loss of consciousness, and loss of bladder control. [2] They may or may not be caused by either physiological or psychological conditions. [2] Physiological causes include fainting, sleep disorders, and heart arrhythmias. [2] [3] Psychological causes are known as psychogenic non-epileptic seizures. [3]
Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, otherwise defined as a rapid, irregular heartbeat, sweating, chest pain or discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a sense of impending doom or loss of control.
In older patients, emotional instability may be less evident, or depression may occur, and the symptoms and signs are manifestly circulatory. In many, the thyroid is not readily palpable. [4] Symptoms such as rapid heart rate, shortness of breath on exertion, and edema may predominate. Older patients also tend to have more weight loss and less ...
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