Title: A Study of Abnormal Movements in ICU Patients in Rajah Muthiah Medical College

Authors: Dr J.T.Sathishkumar, Dr S.Sudharsan, Dr P.Mohanapriya

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.161

Abstract

Movement disorders disrupt motor function not by causing weakness but by producing either abnormal, involuntary, unwanted movements, or by curtailing the amount of normal free flowing movement. We observed all patients admitted in ICU and video recorded 30 patients with new onset abnormal movements. In our study most common involuntary movement is tremor followed by myoclonus and seizure. Most common cause of admission associated with involuntary movement is OPC poisoning followed by fever in our study. In our study post hypoxic myoclonus was associated with poor prognosis.

Keywords: Abnormal movements, ICU, Video record.

References

  1. Bleck TP, Smith MC, Pierre-Louis SJ, et al. Neurologic complications of critical medical illnesses. Crit Care Med 1993; 21:98–103.
  2. Wijdicks EF, Sharbrough FW. New-onset seizures in critically ill patients. Neurology 1993; 43:1042–1044.
  3. Benbadis SR, Chen S, Melo M. What’s shaking in the ICU? The differential diagnosis of seizures in the intensive care setting. Epilepsia
  4. Frucht S, Fahn S. The clinical spectrum of posthypoxic myoclonus. Mov Disord. 2000;15 Suppl 1:2–7.
  5. Brick JF, Gutmann L,Brick J,Apleren KN, Riggs JE. Timber rattlesnake venom induced mokymia; neurology 1987;37;1545-1546.

Corresponding Author

Dr J.T.Sathishkumar

Post graduate, Department of General Medicine,

Rajah Muthiah Medical college and Hospital,

Annamalai University, Annamalai Nagar-608002