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3.7

Movement Disorders

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 3, Central Nervous System Conditions.

Clinical Description

Abnormalities of movement/initiation of movement, divided into those with reduction of movement (hypokinesia or bradykinesia), or those with excessive movements (hyperkinesia).

Complications and Referral Criteria

  • To differentiate functional from organic disorders.
  • Tardive dyskinesia.
  • All complicated cases, i.e. patients with Parkinsonism, not responding to small doses of carbidopa/levodopa.
  • Patients with Parkinsonism developing disease-, drug- or autonomic nervous system complications.
  • Patients with myoclonus or chorea, not responding to therapy.

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