ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2019
Movement disorders in emergency settings: a prospective study.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- Movement disorder emergencies at a tertiary-care center in West Bengal, India: Spectrum, etiologies, diagnostic implications.Next research · 2026Article
- Frequency and characteristics of functional neurological disorder in the emergency department.Journal of neurology · 2025Article
- [Functional movement disorders: overcoming belle indifférence].Der Nervenarzt · 2024Article
- SOP: acute hyperkinetic movement disorders.Neurological research and practice · 2023Article
- Video electroencephalogram combined with electromyography in the diagnosis of hyperkinetic movement disorders with an unknown cause.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Observational
- Hemiballismus as a Presenting Feature of Idiopathic Hypoparathyroidism in the Emergency Department.Neurology. Clinical practice · 2021Article
- An unusual gait disorder at the Emergency Department: role of the quantitative assessment of parenchymal transcranial Doppler sonography.Quantitative imaging in medicine and surgery · 2021Article
- Functional gait disorders, clinical phenomenology, and classification.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020Article
- Movement Disorders in Metabolic Disorders.Current neurology and neuroscience reports · 2019Review
- Spectrum of Movement Disorder Emergencies in a Tertiary Care Center in India: A Prospective Observational Study.Annals of Indian Academy of NeurologyArticle
- Movement Disorder Emergencies: When "Too Much" or "Too Little" Movement Needs Urgent Attention!!Annals of Indian Academy of NeurologyArticle
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Authors and funding
8 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionAcute movement disorders (MD) are etiologically heterogeneous entities. Since studies on the relative frequency of different MD and their underlying diseases are limited, we performed a prospective study to investigate the spectrum of various MD and their causes in patients presenting with acute MD in an emergency room (ER) setting.
objectiveTo describe the spectrum and outcomes of acute MD in a prospective cohort and to guide its management.
methodsWe investigated acute MD in 96 consecutive patients admitted to ERs between 2013 and 2017. Time of disease onset, type of MD according to published criteria, diagnostic workup, and outcome were collected.
results73.9% of patients had hyperkinetic MD. Tremor was the most common symptom (19.8%), followed by myoclonus (17.7%), dystonia (15.6%), and chorea (11.4%). Other hyperkinetic MD (9.4%) included were gait disorders (imbalance due to involuntary movement), dyskinesia, akathisia, hemiballism, and oculogyric crisis. Hypokinetic MD included acute parkinsonism (15.6%), off-state (4%), akinesia (3%), and rigidity (3%). Co-occurrence of more than one MD was seen in 19.7% of patients. Time delay to medical consultation was between < 24 h and 28 days. Five etiological groups were recognized: drug-induced (29.2%), functional (19.8%), neurodegenerative diseases (15.6%), structural brain damage (11.5%), others (24.0%, metabolic, inflammatory, infective, undetermined). Outcome was better for neurodegenerative diseases and for drug-induced MD. Functional movement disorders (FMD) showed less favorable outcome.
conclusionsAcute MD is a distinct cause of ER admission, and a variety of treatable diseases may be the underlying cause of this symptom. Uncertain course is more probable in FMD and in structural brain lesions.
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