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KMID : 1197720190120010031
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대한파킨슨병 및 이상운동질환 학회지
2019 Volume.12 No. 1 p.31 ~ p.36
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Clinical Characteristics of Involuntary Movement in Hospitalized Patients
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Kwon Kyum-Yil
Lee Hye-Mi
Lee Seon-Min
Koh Seong-Beom
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Abstract
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Objective: Neurological symptoms in hospitalized patients are not rare, and neurological consultation for movement disorders is especially important in evaluating or managing those with various movement disorders. Therefore, we investigated a clinical pattern of in-hospital consultations for various movement disorders in a tertiary care university hospital.
Methods: Over two years, a total of 202 patients (70.7 ± 11.8 years of age) presenting with movement disorders referred to movement disorder specialists were investigated.
Results: The main symptoms referred by nonneurologists were tremor (56.9%), parkinsonism (16.8%), and gait disturbance (8.9%). The most frequent diagnostic category was toxic/metabolic-caused movement disorder (T/MCMD) (35%) with regard to medications, followed by Parkinson’s disease (PD) (16%). Regarding the mode of onset, T/MCMD was the leading cause for acute (68%) and subacute onset (46%), while PD was the leading disorder (31%) for chronic onset.
Conclusion: The current study showed a characteristic pattern of inpatients presenting with movement disorders. Furthermore, our findings highlighted the clinical significance of drug use or metabolic problems for treating this patient population.
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KEYWORD
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Consultation, hospital, inpatients, movement disorder, tremor
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