Reviewing The IBCC chapter “Movement disorder emergencies” Including The Management Of Parkinson’s Disease

In this post, I review Dr. Josh Farkas‘ Internet Book Of Critical Care chapter, Movement disorder emergencies, May 25, 2022.

All that follows is from the above resource.

Movement disorders are encountered more frequently in the critical care unit than one might realize.  For example Parkinson’s disease alone affects ~1% of patients over sixty years old (often requiring careful consideration in medication management, to avoid either psychosis or Parkinsonism-hyperpyrexia syndrome).  Other disorders are less common, but their recognition may be critical (e.g., propofol frenzy).

CONTENTS

• Hypokinetic
  • Parkinson’s disease
    • Managing Parkinson’s medications in the ICU
    • Parkinsonism-hyperpyrexia syndrome
    • Acute parkinsonism
    • Psychosis in Parkinson’s disease
  • Neuroleptic malignant syndrome (NMS)
  • Catatonia
  • Baclofen withdrawal
• Hyperkinetic
  • Acute ballismus or chorea
  • Akathisia
  • Myoclonus
  • Dystonia
    • Acute dystonia
    • Dystonic storm
  • Post-hypoxic myoclonus
  • Tetanus
  • Propofol frenzy
• Podcast
• Questions & discussion
• Pitfalls