Movement disorders emergencies: treatment
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Movement disorders emergencies: treatment. Trihexyphenidyl 3–6 mg daily, Risperidone 2-6 mg daily. Fully referenced neurology checklist.
Combination therapy for dystonic storms
- Trihexyphenidyl 3–6 mg daily
- Risperidone 2-6 mg daily
- Sulpiride 200-800 mg daily
- Tetrabenazine 12.5-100 mg daily
Alternative therapy for dystonic storms
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Treatment of severe chorea
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Treatment of hemiballism
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Treatment of neurolept malignant syndrome (NMS)
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Treatment of parkinsonism-hyperpyrexia (PHS)
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References
- Gandhi SE, Newman EJ, Marshall VL. Emergency presentations of movement disorders. Pract Neurol 2020 (Online ahead of print).
- Frucht SJ. Treatment of movement disorder emergencies. Neurotherapeutics 2014; 11:208-212.
- Robottom BJ, Weiner WJ, Factor SA. Movement disorders emergencies. Part 1: Hypokinetic disorders. Arch Neurol 2011; 68:567-572.
- Termsarasab P, Frucht SJ. Dystonic storm: a practical clinical and video review. J Clin Mov Disord 2017; 4:10.
