Movement Disorders Emergencies Part 2

Robottom, B.; Factor, Stewart A.; Weiner, William J.

doi:10.1001/archneurol.2011.117

Cited by 36 publications

(66 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Chorea can be caused by hereditary conditions, as in Huntington's chorea, or acquired, as in the dance-like movements sometimes seen after exposure to cocaine. Dystonia describes involuntary, sustained muscle contractions that produce twisting or squeezing movements and perhaps are more accurately described as postures [1]. The term athetosis refers to slow, more writhing movements, but is sometimes used interchangeably with dystonia.…”

Section: How Can We Classify This Patient's Neurologic Findings?mentioning

confidence: 99%

Case Files of the University of California San Francisco Medical Toxicology Fellowship: Lamotrigine Toxicity

Fleurat

Smollin

2012

J. Med. Toxicol.

View full text Add to dashboard Cite

A 56-year-old man was brought to the emergency department (ED) after he was found seizing on the floor by his family. His brother described hearing a thump in his room and witnessed him having a full body clonic seizure that lasted approximately 2 min. When emergency medical service arrived, he was found on the floor with altered mental status and with signs of facial trauma. No medications were administered en route to the hospital.On arrival to the ED, he was initially confused and mumbling incoherently. He was noted to be only oriented to self, and would not reliably follow commands. Approximately 1 h after arrival, he became agitated, seemed more confused, and would not follow any commands. Initial vital signs were: blood pressure, 147/76 mmHg; pulse, 81/min; respiratory rate, 18/min; temperature, 35°C by tympanic measurement; and oxygen saturation was 100% on room air. On physical exam, his pupils were 4 mm and reactive bilaterally. Extraocular movements appeared intact by observation only and there was no nystagmus. He had a nasal deformity and laceration to the right side of his tongue. The chest exam was normal with the exception of a large median sternotomy scar. His abdomen was soft, nontender, and there were no signs of bladder distension. Bowel sounds were noted to be present. There was no evidence of bowel or bladder incontinence. The neurological exam was notable for decreased attention, inability to follow commands, inability to repeat examiner's phrases, and markedly reduced language skills. The patient had spastic muscle tone with resistance to motion both with flexion and extension of all extremities. Deep tendon reflexes were noted to be 2+ in bilateral upper extremities and 3+ in bilateral lower extremities without clonus.

show abstract

Section: How Can We Classify This Patient's Neurologic Findings?mentioning

confidence: 99%

Case Files of the University of California San Francisco Medical Toxicology Fellowship: Lamotrigine Toxicity

Fleurat

Smollin

2012

J. Med. Toxicol.

View full text Add to dashboard Cite

show abstract

“…Appendicular symptoms tend to be more common among elderly patients. Typically, symptoms and signs are action induced, following treatment initiation or dose increase 14,16 . Finally, tardive dyskinesias may became a MD emergency, particularly in the cases of severe respiratory/diaphragmatic dyskinesias and the case of so-called "withdrawal-emergent" dyskinesias (severe dyskinesias after withdrawal from neuroleptics) 8 .…”

Section: Acute Psychosis In Parkinson's Diseasementioning

confidence: 99%

“…Oculogyric crisis usually improves significantly with clonazepam 2 mg PO or diphenhydramine 25 or 50 mg IM. "Prophylaxis" with anticholinergics or amantadine is controversial and should not be routinely used 1,8,12,[15][16][17][18] .…”

Section: Acute Psychosis In Parkinson's Diseasementioning

confidence: 99%

“…Immediate treatment with intravenous diphenhydramine (25 mg to 50 mg) is effective in most cases. Occasionally, tracheostomy or even botulinum toxin injection is necessary 1,8,10,16,17 .…”

Section: Laryngeal Dystonia In Multiple System Atrophy and Other Cmentioning

confidence: 99%

“…Also, discontinuation of agents know to induce tics, such as methylphenidate, is essential. Botulinum toxin injections may be particularly helpful in patients with malignant vocal tics or coprolalia 8,16,45 . Finally, occasional patients may have motor tics that, similar to dystonia and other hyperkinetic MD, may cause neurological complications like cervical myelopathy in the case of violent neck motor tics 8,17,45 .…”

Section: Tic Status and Neurological Complications Of Ticsmentioning

confidence: 99%

See 2 more Smart Citations

Movement disorders emergencies: a review

Munhoz

Moscovich

Araujo

et al. 2012

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Movement disorders (MD) encompass acute and chronic diseases characterized by involuntary movements and/or loss of control or efficiency in voluntary movements. In this review, we covered situations in which the main manifestations are MDs that pose significant risks for acute morbidity and mortality. The authors examine literature data on the most relevant MD emergencies, including those related to Parkinson's disease, acute drug reactions (acute dystonia, neuroleptic malignant syndrome, serotonergic syndrome and malignant hyperthermia), acute exacerbation of chronic MD (status dystonicus), hemiballism and stiff-person syndrome, highlighting clinical presentation, demographics, diagnosis and management.

show abstract

Hyperthermia and Jaw Opening in Drug-Induced Movement Disorders

Roohi¹

2012

Arch Neurol

View full text Add to dashboard Cite

Movement Disorders Emergencies Part 2

Cited by 36 publications

References 85 publications

Case Files of the University of California San Francisco Medical Toxicology Fellowship: Lamotrigine Toxicity

Case Files of the University of California San Francisco Medical Toxicology Fellowship: Lamotrigine Toxicity

Movement disorders emergencies: a review

Hyperthermia and Jaw Opening in Drug-Induced Movement Disorders

Contact Info

Product

Resources

About