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Movement Disorder Emergencies pp 9–28Cite as

Acute Parkinsonism

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Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

Acute onset parkinsonism is rare. The most common explanations are neuroleptic malignant syndrome, viral encephalitis, psychogenic, and catatonia. Testing, including cerebrospinal fluid analyses, toxicology, routine blood evaluations, imaging, and electroencephalograpy, assumes a much greater role than the evaluation of degenerative forms of parkinsonism. Acute parkinsonism should always be considered an emergency. Catatonia and neuroleptic malignant syndrome are treatable disorders that are often readily reversed. Viral encephalitis usually requires aggressive supportive care. Other, less common forms are also discussed in this chapter.

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Authors and Affiliations

  1. Center for Neurological Restoration, Cleveland Clinic, 9500 Euclid Avenue, U-2, Cleveland, OH, 44195, USA

    Hubert H. Fernandez M.D.

  2. Movements Disorders Program, Butler Hospital, Providence, RI, USA

    Joseph H. Friedman M.D.

  3. Movement Disorders Division, Department of Neurology, Alpert Medical School of Brown University, Butler Hospital, Providence, RI, USA

    Joseph H. Friedman M.D.

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  1. Hubert H. Fernandez M.D.
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  2. Joseph H. Friedman M.D.
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Correspondence to Hubert H. Fernandez M.D. .

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  1. , Neurology, Columbia University Medical Center, West 168th St. Suite 310 710, New York, 10032, USA

    Steven J. Frucht

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Fernandez, H.H., Friedman, J.H. (2013). Acute Parkinsonism. In: Frucht, S. (eds) Movement Disorder Emergencies. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-835-5_2

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