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Movement disorder emergencies in the elderly: recognizing and treating an often-iatrogenic problem
1Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland OH 44195, USA. Babak.Tousi@CCHSwest.org
Cleveland Clinic Journal of Medicine
|July 4, 2008
Summary
Movement disorder emergencies in older adults, including rigidity and psychiatric issues, are difficult to manage and often caused by medical treatment. Anticipating these iatrogenic events by avoiding polypharmacy can help prevent them.
Area of Science:
- Geriatric Medicine
- Neurology
Background:
- Movement disorder emergencies pose significant challenges in elderly patients.
- These emergencies encompass a range of symptoms including rigidity, dystonia, hyperkinetic movements, and psychiatric disturbances.
Observation:
- A substantial proportion of these movement disorder emergencies are iatrogenic, meaning they are caused by medical treatment.
- Polypharmacy and dangerous drug interactions are identified as potential contributing factors.
Findings:
- The study highlights that many movement disorder emergencies in the elderly are preventable.
- Anticipating potential drug-induced movement disorders is crucial for effective management.
Implications:
- Healthcare providers should carefully review medication regimens in elderly patients to avoid polypharmacy.
- Awareness of potential drug interactions can mitigate the risk of iatrogenic movement disorders.
- Proactive management strategies are essential for improving patient outcomes and reducing healthcare burdens.
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