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   [Epub ahead of print]
Clinical Characteristics of Involuntary Movement in Hospitalized Patients
Kyum-Yil Kwon1,2, Hye Mi Lee1, Seon-Min Lee1, Seong-Beom Koh1
1Department of Neurology and Parkinson’s Disease Centre, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
2Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
Corresponding Author: Seong-Beom Koh ,Tel: +82-2-2626-3169, Fax: +82-2-2626-1257, Email: parkinson@korea.ac.kr
Received: August 7, 2018;   Revised: September 19, 2018;   Accepted: October 24, 2018.
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ABSTRACT

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.
Key Words: Consultation; hospital; inpatients; movement disorder; tremor
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