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Anales del Sistema Sanitario de Navarra
versión impresa ISSN 1137-6627
Resumen
ERRO, M.E.; GASTON, I. y NAVARRO, M.C.. Movement disorders in the emergency department. Anales Sis San Navarra [online]. 2008, vol.31, suppl.1, pp.127-140. ISSN 1137-6627.
Acute or sub-acute movement disorders represent a small percentage of neurological emergencies but it is necessary to be aware of their existence because a failure in their diagnosis or treatment can result in significant morbidity and mortality. Clinical presentation of acute movement disorders can be diverse. In some cases acinesia or rigidity predominates, while others are characterized by dystonia, chorea o balism. The type of movement disorder suggest a specific aetiology. Drugs represent the most frequent etiologic factor and are the cause of neuroleptic malignant syndrome and serotoninergic syndrome. Emergencies secondary to Parkinsons disease are reviewed, including parkinsonism-hyperpirexia syndrome, acute psychosis and the emergencies derived from deep brain stimulators. Different aetiologies of acute dystonia and chorea are also covered and, finally, acute movement disorders due to stroke are reviewed.
Palabras clave : Neuroleptic malignant syndrome; Serotonergic síndrome; Emergencies in Parkinsons disease; Drug induced dystonia.