Clinical Spectrum of Movement Disorders in Neurology Inpatients in a Tertiary Care Centre

Abstract

Background Little data are available on the spectrum of movement disorders in inpatients, particularly those admitted in neurology specialty. This may be related to the fact that patients presenting with movement disorders are usually evaluated from outpatient clinics. Objective The aim of this study is to provide data on the pattern of movement disorders in neurology inpatients. Materials and Methods Patients admitted through emergency department or neurology clinic with complaints of movement abnormalities were recruited in this study from October 2019 to September 2020. Cases were subjected to proforma-based detailed history, examination, and appropriate investigations. Statistical Analysis Descriptive statistics using SPSS 20. Results and Conclusion Bradykinesia with or without tremor was the most common movement disorder (28.3%), followed by ataxia and dystonia (24.5% each) and hemifacial spasm and myoclonus (7.5% each). Chorea, tic disorder, and hemiballismus were also reported. Etiologies included Parkinson disease, Wilson’s disease, subacute sclerosing panencephalitis (SSPE), drugs, stroke, spinocerebellar ataxia, Huntington’s disease, neuroacanthocytosis, and others. Dystonia represented the most common disorder in the younger age group (44.4%), whereas bradykinesia and/or tremor represented the most common movement disorder in the older age group (46.4%).This study demonstrates the characteristic distribution of movement disorders in neurology inpatients.

Movement Disorders in Patients with Subacute Sclerosing Panencephalitis: A Systematic Review

“…Movement disorders were the presenting feature in seven (14%) children. Two studies noted that SSPE contributed to movement disorders among 5.7% of 53 adults and 4.3% of 93 children 14,15 . Praveen‐Kumar et al primarily assessed radiological spectrum among 33 patients with SSPE; 27% had extrapyramidal involvement and 100% had myoclonus 16 .…”

“…Two studies noted that SSPE contributed to movement disorders among 5.7% of 53 adults and 4.3% of 93 children. 14,15 Praveen-Kumar et al primarily assessed radiological spectrum among 33 patients with SSPE; 27% had extrapyramidal involvement and 100% had myoclonus. 16 Dash et al in an abstract reported that 12.2% of 106 patients (age range 7-17 years) with SSPE had movement disorders.…”