• Neurologic clinics · May 2021

    Review Case Reports

    Movement Disorder Emergencies.

    • Diana Apetauerova, Pritika A Patel, Joseph D Burns, and David P Lerner.
    • Division of Neurology, Lahey Hospital and Medical Center, Burlington, MA 01805, USA; Department of Neurology, Tufts University School of Medicine, Boston, MA 02111, USA.
    • Neurol Clin. 2021 May 1; 39 (2): 615-630.

    AbstractAcute presentation of new movement disorders and acute decompensation of chronic movement disorders are uncommon but potentially life-threatening. Inadvertent or purposeful overdose of many psychiatric medications can result in acute life-threatening movement disorders including serotonin syndrome, neuroleptic malignant syndrome, and malignant catatonia. Early withdrawal of potentiating medications, treatment with benzodiazepines and other diagnosis-specific drugs, and providing appropriate supportive care including airway and breathing management, hemodynamic stabilization, fluid resuscitation, and renal support including possible hemodialysis are the mainstays of acute management. Many of these conditions require admission to the neurologic intensive care unit.Copyright © 2021 Elsevier Inc. All rights reserved.

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