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Movement disorders emergencies: a review
Renato P Munhoz1, Mariana Moscovich, Patrícia Dare Araujo
1Department of Neurology, Pontifical Catholic University of Paraná, Curitiba, PR, Brazil. renatopuppi@gmail.com
Abstract:
Movement disorders (MD) encompass acute and chronic diseases characterized by involuntary movements and/or loss of control or efficiency in voluntary movements. In this review, we covered situations in which the main manifestations are MDs that pose significant risks for acute morbidity and mortality. The authors examine literature data on the most relevant MD emergencies, including those related to Parkinson's disease, acute drug reactions (acute dystonia, neuroleptic malignant syndrome, serotonergic syndrome and malignant hyperthermia), acute exacerbation of chronic MD (status dystonicus), hemiballism and stiff-person syndrome, highlighting clinical presentation, demographics, diagnosis and management.
Insights
This review covers movement disorder emergencies, focusing on acute conditions like Parkinsonian crises and drug reactions. It details their presentation, diagnosis, and management for better patient outcomes.
Area of Science:
- Neurology
- Movement Disorders
- Medical Emergencies
Background:
- Movement disorders (MD) involve involuntary movements or impaired voluntary control.
- Some MDs present as emergencies with high morbidity and mortality risks.
Purpose of the Study:
- To review critical movement disorder emergencies.
- To highlight clinical presentation, demographics, diagnosis, and management strategies.
Main Methods:
- Literature review of relevant medical data.
- Focus on acute and emergent movement disorder conditions.
Main Results:
- Covered Parkinson's disease emergencies, acute drug reactions (dystonia, NMS, serotonin syndrome, malignant hyperthermia), status dystonicus, hemiballism, and stiff-person syndrome.
- Detailed clinical features, diagnostic approaches, and therapeutic interventions for each condition.
Conclusions:
- Prompt recognition and management of MD emergencies are crucial.
- Understanding these conditions improves patient outcomes and reduces mortality.
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