SOP: acute hyperkinetic movement disorders
- PMID: 37496100
- PMCID: PMC10373268
- DOI: 10.1186/s42466-023-00260-w
SOP: acute hyperkinetic movement disorders
Abstract
Introduction: Movement disorders emergencies describe acute-onset neurological conditions in which a delay of recognition and treatment may cause severe morbidity and mortality of patients. Hyperkinetic movement disorders include tremor, chorea/ballism, dystonia, myoclonus, and tics. Here we present a standard operating procedure (SOP) for the diagnostic work-up and different treatment options depending on the phenomenology as well as the aetiology of underlying diseases.
Comments: The recognition of the phenomenology is essential for the symptomatic therapy of the acute movement disorder and forms the basis for the choice of ancillary investigations to confirm the suspected underlying causes. Furthermore, we summarise diagnostic techniques, including blood and cerebrospinal fluid tests and neuroimaging, which provide rapid results and are useful for the indication of causal treatments of specific acute movement disorders.
Conclusions: Despite their acute nature, most of these conditions can result in good clinical outcomes, if recognised early.
© 2023. The Author(s).
Conflict of interest statement
Anna Sauerbier is funded by the Gusyk program and the Advanced Cologne Clinician Scientist program of the Medical Faculty of the University of Cologne and has received funding from the Prof. Klaus Thiemann Foundation. Alexandra Gronostay reports no disclosures. Haidar S. Dafsari reports funding of his work by the EU Joint Programme – Neurodegenerative Disease Research (JPND), the Prof. Klaus Thiemann Foundation, the Felgenhauer Foundation, and the Koeln Fortune Program, and honoraria by Boston Scientific, Medtronic, Oruen, Everpharma, and Stadapharm.
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References
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