Parkinson’s disease (PD): emergencies
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Parkinson’s disease (PD): emergencies. Total akinesia, Dysphagia, Hyperthermia, Dysautonomia, Altered mental state. Fully referenced neurology checklist.
Akinetic crisis: clinical features
- Total akinesia
- Dysphagia
- Hyperthermia
- Dysautonomia
- Altered mental state
- Unresponsiveness to medications
- Raised creatinine kinase (CK)
Akinetic crisis: synonyms
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Parkinsonism-hyperpyrexia syndrome: causes
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Parkinsonism-hyperpyrexia syndrome: clinical features
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Dyskinesia-hyperpyrexia syndrome
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Akinetic syndrome after failed deep brain stimulation (DBS)
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Duodenal levodopa infusion induced acute polyneuropathy
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Other PD emergencies
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References
- Onofrj M, Bonanni L, Cossu G, Manca D, Stocchi F, Thomas A. Emergencies in parkinsonism: akinetic crisis, life-threatening dyskinesias, and polyneuropathy during L-Dopa gel treatment. Parkinsonism Relat Disord 2009; 15(Suppl 3):S233-S236.
- Martino G, Capasso M, Nasuti M, Bonanni L, Onofrj M, Thomas A. Dopamine transporter single-photon emission computerized tomography supports diagnosis of akinetic crisisof parkinsonism and of neuroleptic malignant syndrome. Medicine (Baltimore) 2015; 94:e649.
- Tousi B. Movement disorder emergencies in the elderly: recognizing and treating an often-iatrogenic problem. Cleve Clin J Med 2008; 75:449-457.
- Munhoz RP, Moscovich M, Araujo PD, Teive HA. Movement disorders emergencies: a review. Arq Neuropsiquiatr 2012; 70:453-461.
- Wang JY, Huang JF, Zhu SG, et al. Parkinsonism-hyperpyrexia syndrome and dyskinesia-hyperpyrexia syndrome in Parkinson's disease: two cases and literature review. J Parkinsons Dis 2022; 12:1727-1735.
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