A 30-year-old woman with multiple sclerosis presents with progressive coarse tremor worsening during intentional reaching. Vital signs: BP 118/76, HR 88, RR 16, Temp 37°C, SpO2 98%. On examination, finger-to-nose testing reveals slow zigzag hand movements with target overshoot. MRI brain shows demyelinating lesions in the cerebellum. She denies recent vision changes. Currently taking interferon-beta. Which of the following is the most likely type of movement abnormality?

  1. A)Resting tremor
  2. B)Athetosis
  3. C)Intention tremorGABARITO
  4. D)Essential tremor
  5. E)Myoclonus

Explicação

Intention tremor is associated with cerebellar dysfunction and becomes more pronounced as a target is approached. Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE