Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025
Hyperkinetic Movement Disorder Emergencies: A Retrospective Study From China.
СтатьяНазвание и аннотация: Перевод в очереди
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Dai Ruolian, Du Yunlan, Li Wanlin, Lu Zhongjiao, Wang Chunfang, Sun Ye, Xie Xinyi, Wang Hualong, Wang Gang
Аннотация
INTRODUCTION: Movement disorders, especially hyperkinetic movement disorders, can present in emergency services in an acute and/or severe form and are aetiologically heterogeneous. Because limited data exist on the epidemiology and clinical presentation of hyperkinetic movement disorders in China, a retrospective study was performed to investigate the spectrum of various hyperkinetic movement disorder emergencies and their underlying causes.
OBJECTIVE: To reveal the spectrum of hyperkinetic movement disorder emergencies from a retrospective study and investigate their underlying causes to aid in their management.
METHODS: In total, 74 adults presenting with hyperkinetic movement disorders were recruited between January 2023 and September 2024, and data related to clinical information, cranial CT/MRI scans, and blood tests and other necessary examinations were collected.
RESULTS: The frequency of hyperkinetic movement disorder emergencies accounted for 0.125% (74/59 354) of the total patients in the emergency room during this period. The most common type of hyperkinetic movement disorder emergency was myoclonus (44.6%), followed by tremors (37.8%), dystonia (16.2%) and chorea (1.4%). The time delay to medical consultation was divided into three phases: ≤ 24 h (67.6%), 24 h-28 days (23.0%), and > 28 days (9.5%). In addition to the undetermined aetiological factors (31.1%), six aetiological groups were recognised: metabolic disease (16.2%), infection and inflammation (16.2%), psychogenesis (9.5%), drug-induced disorders (9.5%), neurodegenerative diseases (9.5%), and stroke (8.1%). During the 2-year follow-up period, the morbidity rate in our study was 5.4% (4/74).
CONCLUSIONS: This study provides a landscape of adult patients presenting to neurology emergency services with hyperkinetic movement disorders in China.
OBJECTIVE: To reveal the spectrum of hyperkinetic movement disorder emergencies from a retrospective study and investigate their underlying causes to aid in their management.
METHODS: In total, 74 adults presenting with hyperkinetic movement disorders were recruited between January 2023 and September 2024, and data related to clinical information, cranial CT/MRI scans, and blood tests and other necessary examinations were collected.
RESULTS: The frequency of hyperkinetic movement disorder emergencies accounted for 0.125% (74/59 354) of the total patients in the emergency room during this period. The most common type of hyperkinetic movement disorder emergency was myoclonus (44.6%), followed by tremors (37.8%), dystonia (16.2%) and chorea (1.4%). The time delay to medical consultation was divided into three phases: ≤ 24 h (67.6%), 24 h-28 days (23.0%), and > 28 days (9.5%). In addition to the undetermined aetiological factors (31.1%), six aetiological groups were recognised: metabolic disease (16.2%), infection and inflammation (16.2%), psychogenesis (9.5%), drug-induced disorders (9.5%), neurodegenerative diseases (9.5%), and stroke (8.1%). During the 2-year follow-up period, the morbidity rate in our study was 5.4% (4/74).
CONCLUSIONS: This study provides a landscape of adult patients presenting to neurology emergency services with hyperkinetic movement disorders in China.