Carphology

Involuntary movement of the fingers associated with delirium

Carphology
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Synonyms	Floccillation
Pronounce	N/A
Specialty	N/A
Symptoms	Involuntary picking or plucking movements
Complications	N/A
Onset	N/A
Duration	N/A
Types	N/A
Causes	Delirium, severe illness
Risks	N/A
Diagnosis	Clinical observation
Differential diagnosis	N/A
Prevention	N/A
Treatment	Address underlying cause
Medication	N/A
Prognosis	N/A
Frequency	N/A
Deaths	N/A

Carphology, also known as floccillation, is a clinical sign characterized by involuntary, purposeless movements of the fingers, often described as picking or plucking at the bedclothes or at imaginary objects. This phenomenon is most commonly observed in patients experiencing delirium or severe illness, particularly in the context of encephalopathy.

Etymology

The term "carphology" is derived from the Greek words "karphos," meaning "straw," and "legein," meaning "to pick." This reflects the appearance of the movements, which resemble the act of picking at straw or other small objects.

Clinical Presentation

Carphology is typically seen in patients who are in a state of delirium, which is an acute confusional state characterized by disturbances in attention, cognition, and perception. The movements are usually repetitive and may be accompanied by other signs of delirium, such as disorientation, hallucinations, and agitation.

Pathophysiology

The exact pathophysiological mechanism underlying carphology is not well understood. It is thought to be related to dysfunction in the central nervous system, particularly in areas of the brain responsible for motor control and coordination. Carphology is often associated with metabolic disturbances, infections, or other conditions that affect brain function.

Diagnosis

The diagnosis of carphology is primarily clinical, based on the observation of characteristic finger movements in the context of delirium or severe illness. It is important for clinicians to recognize this sign as it may indicate an underlying condition that requires urgent medical attention.

Management

The management of carphology involves addressing the underlying cause of the delirium or encephalopathy. This may include treating infections, correcting metabolic imbalances, or managing other contributing factors. Supportive care, including ensuring patient safety and providing a calm environment, is also important.

Prognosis

The prognosis for patients exhibiting carphology depends on the underlying cause of the delirium. If the cause can be identified and treated effectively, the movements may resolve as the patient's condition improves. However, persistent or worsening symptoms may indicate a more serious underlying condition.

Also see

• Delirium
• Encephalopathy
• Neurology
• Involuntary movements

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WikiMD neurology

External links

• Comprehensive information from the National Institute of health.
  

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