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Geriatr Psychol Neuropsychiatr Vieil. 2019 Dec 1;17(4):395-404. doi: 10.1684/pnv.2019.0825.

Movement disorders in the elderly.

Author information

1
Service de neurologie, Hôpital Avicenne, Hôpitaux Universitaires de Paris - Seine-Saint-Denis, Paris, Bobigny, France, Faculté de médecine, Université Paris 13, UFR SMBH 74, Bobigny, France.
2
Service de neurologie, Hôpital Avicenne, Hôpitaux Universitaires de Paris - Seine-Saint-Denis, Paris, Bobigny, France, Faculté de médecine, Université Paris 13, UFR SMBH 74, Bobigny, France, UMR CNRS 7241/Inserm U1050, Center for interdisciplinary research in biology (CIRB), Collège de France, Paris, France.

Abstract

Movement disorders are frequent in the elderly, with various presentations and causes. We review the most frequent movement disorders encountered in the elderly. Their diagnosis, mainly based on clinical examination, is necessary due to their common occurrence and their impact on autonomy. Tremor is the most frequent movement disorder, including essential tremor and Parkinson's disease. Iatrogenic or metabolic causes should always be explored in case of any movement disorder. Many treatments can induce movement disorders, especially in the elderly, often heavily treated by medications in patients with impaired renal or/and hepatic function. Other causes of movement disorders that may be encountered in the elderly and their treatment are described. Treatment will be started according to the ratio between the benefit of the functional gain and iatrogenic risk in these frailed subjects.

KEYWORDS:

adverse drug reaction; elderly; movement disorders; tremor

PMID:
31848126
DOI:
10.1684/pnv.2019.0825

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