1.Movement Disorders Resulting From Bilateral Basal Ganglia Lesions in End-Stage Kidney Disease: A Systematic Review
Kah Hui YAP ; Nurul Husna BAHARUDIN ; Abdul Halim Abdul GAFOR ; Rabani REMLI ; Shen-Yang LIM ; Wan Asyraf Wan ZAIDI ; Shahrul AZMIN ; Shahizon Azura Mohamed MUKARI ; Raihanah Abdul KHALID ; Norlinah Mohamed IBRAHIM
Journal of Movement Disorders 2022;15(3):258-263
Objective:
The basal ganglia (BG) are susceptible to fluctuations in blood urea levels, sometimes resulting in movement disorders. We described patients with end-stage kidney disease (ESKD) presenting with movement disorders associated with bilateral BG lesions on imaging.
Methods:
We report four patients and systematically reviewed all published cases of ESKD presenting with movement disorders and bilateral BG lesions (EBSCOhost and Ovid).
Results:
Of the 72 patients identified, 55 (76.4%) were on regular dialysis. Parkinsonism was the most common movement disorder (n = 39; 54.2%), followed by chorea (n = 24; 33.3%). Diabetes mellitus (n = 51; 70.8%) and hypertension (n = 16; 22.2%) were the most common risk factors. Forty-three (59.7%) were of Asian ethnicity. Complete clinical resolution was reported in 17 (30.9%) patients, while 38 (69.1%) had incomplete clinical resolution with relapse. Complete radiological resolution occurred in 14 (34.1%) patients.
Conclusion
Movement disorders associated with BG lesions should be recognized as a rare and potentially reversible metabolic movement disorder in patients with ESKD.
2.Health Promotion Board-Ministry of Health Clinical Practice Guidelines: Falls Prevention among Older Adults Living in the Community.
Thilagaratnam SHYAMALA ; Sweet Fun WONG ; Akila ANDIAPPAN ; Kah Guan Au EONG ; Anu Birla BAKSHI ; Debbie BOEY ; Tsung Wei CHONG ; Hui Ping ENG ; Noor Hafizah ISMAIL ; Tang Ching LAU ; Wei-Yen LIM ; Hsin Wei Wendy LIM ; Lydia SEONG ; Wei Chin WONG ; Kai Zhen YAP ; Sri YUDAH
Singapore medical journal 2015;56(5):298-quiz 301
The Health Promotion Board (HPB) has developed the Clinical Practice Guidelines (CPG) on Falls Prevention among Older Adults Living in the Community to provide health professionals in Singapore with recommendations for evidence-based assessments and interventions for falls prevention. This article reproduces the introduction and executive summary of the key recommendations from the HPB-MOH CPG on Falls Prevention among Older Adults Living in the Community for the information of SMJ readers. The chapters and page numbers mentioned in the reproduced extract refer to the full text of the guidelines, which are available from the Health Promotion Board website: http://www.hpb.gov. sg/cpg-falls-prevention. The recommendations should be used with reference to the full text of the guidelines. Following this article are multiple choice questions based on the full text of the guidelines.
Accidental Falls
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prevention & control
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Aged
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Environment
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Evidence-Based Medicine
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Geriatrics
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standards
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Health Promotion
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methods
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Housing
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Humans
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Incidence
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Middle Aged
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Practice Guidelines as Topic
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Risk Assessment
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methods
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Singapore
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Social Class