See It, Rate It: AIMS Video Quizzes

Screening

See It, Rate It: AIMS Video Quizzes — Introduction to TD Movement

3 to 5-min interaction

Would you count the movement(s) highlighted in the video toward this patient’s AIMS score?

Yes: The movements in the video are consistent with TD and should be rated on the AIMS.
No: The movements in the video are not consistent with TD and should not be rated on the AIMS.
Mixed presentation: Some movements should be rated on the AIMS and others should not.

CORRECT!

INCORRECT!

Correct Response:
No: The movements in the video are not consistent with TD and should not be rated on the AIMS.

Expert Faculty Commentary

Robert A. Hauser, MD, MBA, FAAN

Professor of Neurology

University of South Florida

Director
Parkinson’s Disease and Movement Disorders Center

Tampa, FL

This patient has a tongue tremor that should not be included in AIMS rating. The tremor is a classic 3-4 Hz parkinsonian tremor reflective of a low dopamine state and should not be mistaken for tardive dyskinesia.

Jonathan M. Meyer, MD

Clinical Professor of Psychiatry

University of California

San Diego, CA

The rhythmicity of the tongue movement shown here is not characteristic of TD but is characteristic of a classic parkinsonian tremor with frequency of 3-4 Hz. This should not be rated on the AIMS.

Richard M. Trosch, MD, FAAN

Associate Professor
Department of Neurology
Oakland University William Beaumont School of Medicine
Rochester, MI

This patient has a rapid tongue tremor, suppressed with volitional movement. Her blink rate is diminished, and she has facial masking. These symptoms are parkinsonian, and therefore, an AIMS scale is not appropriate for this patient.