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Practical Approach to Management of the Movement Disorders Patient in the Hospital and Intensive Care Unit

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Movement Disorder Emergencies

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Patients with life-threatening movement disorder emergencies may be encountered in the hospital or intensive care unit. Prompt and aggressive diagnosis and management is required to prevent morbidity and mortality. Management begins in parallel while identification of etiologies and/or precipitating factors occurs: stabilizing the patient is the priority. Management can be divided into acute management (the first 24 hours), and the time that follows. In the first 24 hours, the aim is to stabilize the patient and provide symptomatic treatment. After the first 24 hours, treatment focuses on continuation of symptomatic and/or specific therapies, as well as prevention of recurrence. Phenomenology plays a critical role in the diagnosis and management of these patients, as their ability to communicate is often limited.

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References

  1. Poston KL, Frucht SJ. Movement disorder emergencies. J Neurol. 2008;255(Suppl 4):2–13. https://doi.org/10.1007/s00415-008-4002-9.

    Article  PubMed  Google Scholar 

  2. Varley JA, Webb AJS, Balint B, Fung VSC, Sethi KD, Tijssen MAJ, et al. The movement disorder associated with NMDAR antibody-encephalitis is complex and characteristic: an expert video-rating study. J Neurol Neurosurg Psychiatry. 2019;90(6):724–6. https://doi.org/10.1136/jnnp-2018-318584.

    Article  PubMed  Google Scholar 

  3. Termsarasab P, Thammongkolchai T, Katirji B. Emergencies in stiff-person spectrum disorders. In: Stiff-person syndrome and related disorders. Cham: Springer; 2020.

    Chapter  Google Scholar 

  4. Blumin JH, Berke GS. Bilateral vocal fold paresis and multiple system atrophy. Arch Otolaryngol Head Neck Surg. 2002;128(12):1404–7. https://doi.org/10.1001/archotol.128.12.1404.

    Article  PubMed  Google Scholar 

  5. Dobbs M, Berger JR. Cervical myelopathy secondary to violent tics of Tourette's syndrome. Neurology. 2003;60(11):1862–3. https://doi.org/10.1212/01.wnl.0000064285.98285.cf.

    Article  PubMed  Google Scholar 

  6. Friedman JH, Feinberg SS, Feldman RG. A neuroleptic malignantlike syndrome due to levodopa therapy withdrawal. JAMA. 1985;254(19):2792–5. https://doi.org/10.1001/jama.1985.03360190098033.

    Article  CAS  PubMed  Google Scholar 

  7. Granner MA, Wooten GF. Neuroleptic malignant syndrome or parkinsonism hyperpyrexia syndrome. Semin Neurol. 1991;11(3):228–35. https://doi.org/10.1055/s-2008-1041226.

    Article  CAS  PubMed  Google Scholar 

  8. Termsarasab P, Frucht SJ. Dystonic storm: a practical clinical and video review. J Clin Mov Disord. 2017;4:10. https://doi.org/10.1186/s40734-017-0057-z.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Fink RA. Myoglobinuria in neuroleptic malignant syndrome. Arch Intern Med. 1985;145(9):1736. https://doi.org/10.1001/archinte.1985.00360090212035.

  10. Bertorini TE. Myoglobinuria, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome. Neurol Clin. 1997;15(3):649–71. https://doi.org/10.1016/s0733-8619(05)70338-8.

    Article  CAS  PubMed  Google Scholar 

  11. Faulds M, Meekings T. Temperature management in critically ill patients. Contin Educ Anaesth Crit Care Pain. 2013;13(3):75–9. https://doi.org/10.1093/bjaceaccp/mks063.

    Article  Google Scholar 

  12. Lopez GA. Temperature Management in the Neurointensive Care Unit. Curr Treat Options Neurol. 2016;18(3):12. https://doi.org/10.1007/s11940-016-0393-6.

    Article  PubMed  Google Scholar 

  13. Vazquez-Sandoval A, Ghamande S, Surani S. Critically ill patients and gut motility: are we addressing it? World J Gastrointest Pharmacol Ther. 2017;8(3):174–9. https://doi.org/10.4292/wjgpt.v8.i3.174.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ben-Haim S, Flatow V, Cheung T, Cho C, Tagliati M, Alterman RL. Deep brain stimulation for status dystonicus: a case series and review of the literature. Stereotact Funct Neurosurg. 2016;94(4):207–15. https://doi.org/10.1159/000446191.

    Article  PubMed  Google Scholar 

  15. Strawn JR, Keck PE Jr, Caroff SN. Neuroleptic malignant syndrome. Am J Psychiatry. 2007;164(6):870–6. https://doi.org/10.1176/ajp.2007.164.6.870.

    Article  PubMed  Google Scholar 

  16. Sarkar S, Gupta N. Drug information update. Atypical antipsychotics and neuroleptic malignant syndrome: nuances and pragmatics of the association. BJPsych Bull. 2017;41(4):211–6. https://doi.org/10.1192/pb.bp.116.053736.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Allen NM, Lin JP, Lynch T, King MD. Status dystonicus: a practice guide. Dev Med Child Neurol. 2014;56(2):105–12. https://doi.org/10.1111/dmcn.12339.

    Article  PubMed  Google Scholar 

  18. Mariotti P, Fasano A, Contarino MF, Della Marca G, Piastra M, Genovese O, et al. Management of status dystonicus: our experience and review of the literature. Mov Disord. 2007;22(7):963–8. https://doi.org/10.1002/mds.21471.

    Article  PubMed  Google Scholar 

  19. Frucht SJ. Treatment of movement disorder emergencies. Neurotherapeutics. 2014;11(1):208–12. https://doi.org/10.1007/s13311-013-0240-3.

    Article  PubMed  Google Scholar 

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Termsarasab, P. (2022). Practical Approach to Management of the Movement Disorders Patient in the Hospital and Intensive Care Unit. In: Frucht, S.J. (eds) Movement Disorder Emergencies. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-030-75898-1_1

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  • DOI: https://doi.org/10.1007/978-3-030-75898-1_1

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-75897-4

  • Online ISBN: 978-3-030-75898-1

  • eBook Packages: MedicineMedicine (R0)

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