Neurol. praxi. 2009;10(6):360-362

Acute conditions with extrapyramidal symptoms

doc.MUDr.Irena Rektorová, Ph.D.

Centrum pro abnormální pohyby a parkinsonizmus, 1. neurologická klinika LF MU, FN u sv. Anny, Brno

A movement disorder emergency (MDE) is an acute or subacute state, in which failure to accurately diagnose and manage the patient may

result in significant morbidity or even mortality. The syndromes are most frequently caused by certain drugs administration, or conversely

their withdrawal, but the etiology may also include infections, toxins, focal brain lesions, metabolic disturbances, or autoimmune disorders.

MDEs are frequent in patients with Parkinson’s disease. With respect to differential diagnosis, psychogenic movement disorder or

psychiatric etiology of an acute state should be considered. Further in the text, serotonine syndrome, neuroleptic malignant syndrome,

parkinsonism-hyperpyrexia syndrome, status dystonicus, and acute hemichorea-hemibalism with be described in more details.

syndrome, status dystonicus, acute hemichorea-hemibalism.

Keywords: movement disorder emergency, Parkinson’s disease, serotonine syndrome, neuroleptic malignant syndrome, parkinsonismhyperpyrexia

Published: January 1, 2010  Show citation