Provides a comprehensive review of hypokinetic movement disorder emergencies to guide accurate diagnosis and management during neurological consultations.
May guide acute management of hypokinetic emergencies in neurology; leaves open need for prospective validation of reviewed strategies.
Movement disorders usually do not require emergent intervention; nevertheless, there are acute/subacute clinical settings in which the neurologist is consulted. It is in these circumstances that the neurologist must be prepared to accurately diagnose and properly treat the patient. We have reviewed the literature regarding movement disorder emergencies and divided them into hypokinetic (part 1) and hyperkinetic (part 2) presentations. In part 1, drug-induced syndromes including neuroleptic malignant syndrome, parkinsonism hyperpyrexia syndrome, and serotonin syndrome will be discussed. Emergency complications related to the management of Parkinson disease, including falling, motor fluctuations, and psychiatric issues, will also be reviewed.
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Robottom et al. (2011) studied this question.
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