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Pediatric Iatrogenic Movement Disorders

Deepti Nagesh1, Marcie Goeden1, Keith A Coffman1

  • 1Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO.

Seminars in Pediatric Neurology
|May 9, 2018
PubMed

Insights

A thorough medication history is critical for diagnosing acute movement disorders. Many drugs, not just psychoactive ones, can cause iatrogenic movement disorders, requiring careful patient evaluation.

Area of Science:

  • Neurology
  • Pharmacology

Background:

  • Acute movement disorders present dramatically, necessitating urgent neurological evaluation.
  • Diagnosis relies on history, physical, and neurological examination.

Purpose of the Study:

  • To highlight the critical role of comprehensive medication history in diagnosing iatrogenic movement disorders.
  • To emphasize that non-neurologic medications can also cause movement disorders.

Main Methods:

  • Comprehensive review of literature.
  • Organized content by movement disorder semiology.

Main Results:

  • Iatrogenic movement disorders stem from a wide range of medications, including those for non-neurologic conditions.
  • A structured approach by semiology aids differential diagnosis.

Conclusions:

  • A detailed medication history is essential for identifying drug-induced movement disorders.
  • Neurologists must consider all prescribed medications when evaluating patients with new-onset movement abnormalities.

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