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The spectrum of movement disorders in tertiary care centers in India: A tale of three cities
LK Prashanth1, Hrishikesh Kumar2, Pettarusp M Wadia3, Uday Muthane4
1 Center for Parkinson’s Disease and Movement Disorders Clinic, Vikram Hospitals, Bangalore, West Bengal, India
2 Institute of Neurosciences Kolkata, Kolkata, West Bengal, India
3 Department of Neurology, Movement Disorder Clinic, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
4 Department of Neurology, Parkinson and Ageing Research Foundation, Bangalore, Karnataka, India
Correspondence Address:
LK Prashanth,
Department of Neurology, Center for Parkinson’s Disease and Movement Disorders Clinic, Vikram Hospitals, Bangalore - 560 052, Karnataka
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/aian.AIAN_1257_20
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Background: Movement disorders constitute a major burden among the neurological disorders. Overall prevalence and distribution of disorders requiring medical resources remain unknown. Objective: To understand the pattern of movement disorders burden in India. Materials and Methods: Retrospective electronic database review of new patients attending movement disorders clinics in three cities from 2012 to 2018 was done. Results: 14,561 patients (M:F-9,578:4,983) with mean age at assessment of 60.5 ± 14.9 years (Range: 1–98 years) were analyzed. The major broad syndromic diagnosis included: Parkinsonism (n = 9560, 64.9%), Dystonia (n = 2159, 14.8%), Tremors (n = 1129, 7.7%), Ataxia (n = 475, 3.3%), Chorea (n = 402, 2.7%), Peripheral induced movement disorders (n = 400, 2.7%), Gait Disorders (n = 156, 1.1%), Tics (n = 112, 0.8%), Restless Leg Syndrome (n = 89, 0.6%), and Myoclonus (n = 58, 0.4%). The syndromic diagnosis also included the functional disorders (0.6%). Conclusion: This large database from India show the burden of different movement disorders in tertiary clinics. In addition, it also gives insight into disorders requiring more resources for evaluation and management.
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