Current opinions and practices in post-stroke movement disorders: Survey of movement disorders society members.

Humans Prospective Studies Movement Disorders / etiology Stroke / complications Tremor Surveys and Questionnaires
Cerebrovascular Movement disorders Post-stroke movement disorders Stroke

Journal

Journal of the neurological sciences
ISSN: 1878-5883
Titre abrégé: J Neurol Sci
Pays: Netherlands
ID NLM: 0375403

Informations de publication

Date de publication:
15 Mar 2024
Historique:
received: 16 11 2023
revised: 03 02 2024
accepted: 06 02 2024
medline: 18 3 2024
pubmed: 11 2 2024
entrez: 10 2 2024
Statut: ppublish

Résumé

Post-stroke movement disorders (PSMD) encompass a wide array of presentations, which vary in mode of onset, phenomenology, response to treatment, and natural history. There are no evidence-based guidelines on the diagnosis and treatment of PSMD. To survey current opinions and practices on the diagnosis and treatment of PSMD. A survey was developed by the PSMD Study Group, commissioned by the International Parkinson's and Movement Disorders Society (MDS). The survey, distributed to all members, yielded a total of 529 responses, 395 (74.7%) of which came from clinicians with experience with PSMD. Parkinsonism (68%), hemiballismus/hemichorea (61%), tremor (58%), and dystonia (54%) were by far the most commonly endorsed presentation of PSMD, although this varied by region. Basal ganglia stroke (76% of responders), symptoms contralateral to stroke (75%), and a temporal relationship (59%) were considered important factors for the diagnosis of PSMD. Oral medication use depended on the phenomenology of the PSMD. Almost 50% of respondents considered deep brain stimulation and ablative surgeries as options for treatment. The lack of guidelines for the diagnosis and treatment was considered the most important gap to address. Regionally varying opinions and practices on PSMD highlight gaps in (and mistranslation of) epidemiologic and therapeutic knowledge. Multicenter registries and prospective community-based studies are needed for the creation of evidence-based guidelines to inform the diagnosis and treatment of patients with PSMD.

Sections du résumé

BACKGROUND BACKGROUND
Post-stroke movement disorders (PSMD) encompass a wide array of presentations, which vary in mode of onset, phenomenology, response to treatment, and natural history. There are no evidence-based guidelines on the diagnosis and treatment of PSMD.
OBJECTIVES OBJECTIVE
To survey current opinions and practices on the diagnosis and treatment of PSMD.
METHODS METHODS
A survey was developed by the PSMD Study Group, commissioned by the International Parkinson's and Movement Disorders Society (MDS). The survey, distributed to all members, yielded a total of 529 responses, 395 (74.7%) of which came from clinicians with experience with PSMD.
RESULTS RESULTS
Parkinsonism (68%), hemiballismus/hemichorea (61%), tremor (58%), and dystonia (54%) were by far the most commonly endorsed presentation of PSMD, although this varied by region. Basal ganglia stroke (76% of responders), symptoms contralateral to stroke (75%), and a temporal relationship (59%) were considered important factors for the diagnosis of PSMD. Oral medication use depended on the phenomenology of the PSMD. Almost 50% of respondents considered deep brain stimulation and ablative surgeries as options for treatment. The lack of guidelines for the diagnosis and treatment was considered the most important gap to address.
CONCLUSIONS CONCLUSIONS
Regionally varying opinions and practices on PSMD highlight gaps in (and mistranslation of) epidemiologic and therapeutic knowledge. Multicenter registries and prospective community-based studies are needed for the creation of evidence-based guidelines to inform the diagnosis and treatment of patients with PSMD.

Identifiants

DOI: 10.1016/j.jns.2024.122925 PMID: 38340409
pubmed: 38340409
pii: S0022-510X(24)00060-1
doi: 10.1016/j.jns.2024.122925
pii:
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

122925

Informations de copyright

Copyright © 2024 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest None.

Auteurs

Federico Rodriguez-Porcel (F)

Department of Neurology, Medical University of South Carolina, Charleston, SC, USA. Electronic address: rodrigfe@musc.edu.

Harini Sarva (H)

Parkinson's Disease and Movement Disorders Institute, Department of Neurology, Weill Cornell Medicine, NY, New York, USA.

Juho Joutsa (J)

Turku Brain and Mind Center, Clinical Neurosciences, University of Turku; Turku PET Centre, Neurocenter, Turku University Hospital, Turku, Finland.

Cristian Falup-Pecurariu (C)

Department of Neurology, Transilvania University Brasov, Romania.

Aparna Wagle Shukla (AW)

Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA.

Raja Mehanna (R)

Department of Neurology, University of Texas Health Science Center at Houston, TX, USA.

Katarzyna Śmiłowska (K)

Department of Neurology, Silesian Center of Neurology, Katowice, Poland.

Giuseppe Lanza (G)

Department of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy; Clinical Neurophysiology Research Unit, Oasi Research Institute-IRCCS, Troina, Italy.

Saša R Filipović (SR)

University of Belgrade, Institute for Medical Research, Human Neuroscience Group, Belgrade, Serbia.

Ali Shalash (A)

Department of Neurology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Margaret Ferris (M)

Department of Neurology Stanford University, Palo Alto, CA, USA.

Joseph Jankovic (J)

Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX, USA.

Alberto J Espay (AJ)

James J. and Joan A. Gardner Family Center for Parkinson's Disease and Movement Disorders, Department of Neurology, University of Cincinnati, Cincinnati, OH, USA.

Sanjay Pandey (S)

Department of Neurology and Stroke Medicine, Amrita Hospital, Mata Amritanandamayi Marg Sector 88, Faridabad, Delhi National Capital Region, India.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Current opinions and practices in post-stroke...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Current opinions and practices in post-stroke...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Troubles de la motricité › Current opinions and practices in post-stroke...
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Accident vasculaire cérébral › Current opinions and practices in post-stroke...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Dyskinésies › Tremblement › Current opinions and practices in post-stroke...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Current opinions and practices in post-stroke...