Movement disorders in emergency settings: a prospective study

Introduction Acute movement disorders (MD) are etiologically heterogeneous entities. Since studies on the relative frequency of different MD and their underlying diseases are limited, we performed a prospective study to investigate the spectrum of various MD and their causes in patients presenting w...

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Bibliographic Details
Published in:Neurological sciences 2019, Vol.40 (1), p.133-138
Main Authors: Dallocchio, Carlo, Matinella, Angela, Arbasino, Carla, Arno’, Natale, Glorioso, Margaret, Sciarretta, Massimo, Braga, Massimiliano, Tinazzi, Michele
Format: Article
Language:English
Subjects:
Akinesia
Basal ganglia
Brain injury
Central nervous system diseases
Chorea
Dyskinesia
Dystonia
Emergency medical care
Gait
Inflammation
Medicine
Medicine & Public Health
Movement disorders
Myoclonus
Neurodegenerative diseases
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Psychiatry
Tremor
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Summary:Introduction Acute movement disorders (MD) are etiologically heterogeneous entities. Since studies on the relative frequency of different MD and their underlying diseases are limited, we performed a prospective study to investigate the spectrum of various MD and their causes in patients presenting with acute MD in an emergency room (ER) setting. Objective To describe the spectrum and outcomes of acute MD in a prospective cohort and to guide its management. Methods We investigated acute MD in 96 consecutive patients admitted to ERs between 2013 and 2017. Time of disease onset, type of MD according to published criteria, diagnostic workup, and outcome were collected. Results 73.9% of patients had hyperkinetic MD. Tremor was the most common symptom (19.8%), followed by myoclonus (17.7%), dystonia (15.6%), and chorea (11.4%). Other hyperkinetic MD (9.4%) included were gait disorders (imbalance due to involuntary movement), dyskinesia, akathisia, hemiballism, and oculogyric crisis. Hypokinetic MD included acute parkinsonism (15.6%), off-state (4%), akinesia (3%), and rigidity (3%). Co-occurrence of more than one MD was seen in 19.7% of patients. Time delay to medical consultation was between
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-018-3601-1