Abstract

Hyperkinetic movement disorders are characterized by the presence of abnormal involuntary movements, comprising most notably dystonia, chorea, myoclonus, and tremor. Possible causes are numerous, including autoimmune disorders, infections of the central nervous system, metabolic disturbances, genetic diseases, drug-related causes and functional disorders, making the diagnostic process difficult for clinicians. Some diagnoses may be delayed without serious consequences, but diagnosis delays may prove detrimental in treatable disorders, ranging from functional disabilities, as in dopa-responsive dystonia, to death, as in Whipple's disease. In this review, we focus on treatable disorders that may present with prominent hyperkinetic movement disorders.

Highlights

  • Reviewed by: Arushi Gahlot Saini, Post Graduate Institute of Medical Education and Research (PGIMER), India Alberto Albanese, Catholic University of the Sacred

  • We focus on treatable disorders that may present with prominent hyperkinetic movement disorders

  • We focus on disorders that may present with prominent hyperkinetic movement disorders, and be referred primarily to movement disorders specialists

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Summary

Treatable Hyperkinetic Movement Disorders Not to Be Missed

Aurélie Méneret 1,2*, Béatrice Garcin 3, Solène Frismand 4, Annie Lannuzel , 2,5,6,7 Louise-Laure Mariani 1,2 and Emmanuel Roze 1,2. Hyperkinetic movement disorders are characterized by the presence of abnormal involuntary movements, comprising most notably dystonia, chorea, myoclonus, and tremor. Possible causes are numerous, including autoimmune disorders, infections of the central nervous system, metabolic disturbances, genetic diseases, drug-related causes and functional disorders, making the diagnostic process difficult for clinicians. Some diagnoses may be delayed without serious consequences, but diagnosis delays may prove detrimental in treatable disorders, ranging from functional disabilities, as in dopa-responsive dystonia, to death, as in Whipple’s disease. We focus on treatable disorders that may present with prominent hyperkinetic movement disorders. Hyperkinetic movement disorders comprise dystonia, chorea, myoclonus, tics, stereotypies, and tremor, which can be isolated or associated with other neurological or non-neurological signs. We included disorders that could be fully cured or significantly improved with either pathogenic or symptomatic treatment

AUTOIMMUNE DISEASES
Immunotherapy Immunotherapy
Autoimmune or Paraneoplastic Encephalitis
Other Autoimmune Diseases
INFECTIOUS DISEASES
Hyperkinetic Movement Disorders Due to Viral Infection of the Basal Ganglia
HIV Toxoplasmosis Cryptococcosis Histoplasmosis
Wide infectious assessment
Hyperkinetic Movement Disorders Due to Parasitic and Fungal Infections
Hyperkinetic Movement Disorders Due to Bacterial Infections
Parainfectious Hyperkinetic Syndromes
ACUTE METABOLIC DISORDERS
Liver Disease
Renal Disease
Blood gas Hypocalcemia Hypoglycemia Dysthyroidism
Blood Sugar and Electrolyte Disturbances
Drugs involved
Focus on specific drugs inducing movement disorders
Dopamine replacement therapy Anticonvulsants Psychostimulants
Dopamine Replacement Therapy
Psychostimulants and Drugs of Abuse
GENETIC DISEASES
Paroxysmal Movement Disorders
Neurometabolic Diseases
Diagnostic clues
Niemann Pick disease type C
Thiamine Ketogenic diet
Findings
FUNCTIONAL HYPERKINETIC MOVEMENT DISORDERS

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