Related Experiment Video

Updated: Feb 3, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

31.2K

Movement disorders in emergency settings: a prospective study

Carlo Dallocchio1, Angela Matinella2, Carla Arbasino1

  • 1Department of Medical Area, Neurology Unit, ASST Pavia, Via Volturno, 14, 27058, Voghera, PV, Italy.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|October 17, 2018
PubMed
Abstract

Insights

Acute movement disorders (MD) are common in emergency rooms, often caused by drugs or functional issues. While some causes have good outcomes, functional movement disorders and structural brain lesions may have uncertain prognoses.

Area of Science:

  • Neurology
  • Emergency Medicine

Background:

  • Acute movement disorders (MD) are etiologically diverse.
  • Limited studies exist on the relative frequency and underlying causes of various MDs.

Purpose of the Study:

  • To prospectively investigate the spectrum and outcomes of acute MD in emergency room (ER) patients.
  • To guide the management of acute MD.

Main Methods:

  • A prospective study of 96 consecutive patients presenting with acute MD to ERs between 2013 and 2017.
  • Collected data on disease onset, MD type, diagnostic workup, and patient outcomes.

Main Results:

  • Hyperkinetic MDs were most common (73.9%), with tremor, myoclonus, dystonia, and chorea as frequent symptoms.
  • Key etiological groups included drug-induced (29.2%), functional (19.8%), neurodegenerative diseases (15.6%), and structural brain damage (11.5%).
  • Outcomes were better for neurodegenerative and drug-induced MDs, while functional movement disorders (FMD) and structural brain lesions had less favorable prognoses.

Conclusions:

  • Acute MD is a significant reason for ER visits, with various treatable underlying causes.
  • Functional movement disorders and structural brain lesions are associated with a more uncertain clinical course.
Keywords:
Drug-inducedEmergencyFunctionalMovement disordersNeurodegenerative

More Related Videos

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

4.6K
Studying Orthodontic Tooth Movement in Mice07:17

Studying Orthodontic Tooth Movement in Mice

Published on: August 2, 2024

1.6K

Related Concept Videos

Emerging Adulthood01:27

Emerging Adulthood

Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
688
Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
365
Anatomical Movements00:51

Anatomical Movements

Anatomical movements refer to the various actions or motions that can be performed by the body's joints and muscles. These movements are described using specific terms to provide a standardized way of discussing and understanding the range of motion at different joints.
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist,...
15.7K
Intrinsically Disordered Proteins02:18

Intrinsically Disordered Proteins

Intrinsically disordered proteins are a group of proteins that do not fold into specific three-dimensional structures. Their structural flexibility allows them to complement ordered proteins to perform functions that are inaccessible to rigid structures. They are more common in eukaryotes than prokaryotes and may either be exclusively intrinsically disordered or hybrid proteins, consisting of a mix of ordered and disordered regions. The absence of a rigid structure in these proteins can be...
19.5K
The Movement of Organelles and Vesicles01:43

The Movement of Organelles and Vesicles

In eukaryotic cells,  cytoskeletal filaments such as actin, microtubules, and intermediate filaments form a mesh-like cytoskeletal network. These filaments serve as tracks for transporting cellular cargo. Specialized motor proteins use the chemical energy stored in adenosine triphosphate (ATP) for this transport. During interphase, microtubules are polarized, with the plus-end towards the cell periphery and the minus-end towards the cell center. Two microtubule-associated motor proteins,...
6.4K
Setting Time of Cement01:12

Setting Time of Cement

The setting time of cement refers to the process of cement paste transitioning from a plastic state to a solid state. This process is crucial in construction as it dictates the timeframe for concrete placement, compaction, and finishing. The onset of this solidification is termed the initial set, indicating when the paste becomes unworkable. The final set is when the paste has solidified completely, and further handling or manipulation can no longer affect its shape. The cement strength is...
678