الأزمة الحركية هي تدهور حاد وشديد في مرض باركنسون يستلزم التعرف عليها فوراً وإدارة عاجلة ومنظمة — ويُفضَّل أن تكون في وحدة الرعاية المتوسطة أو المكثفة، ولا سيما عند ظهور المضاعفات.
DOI: 10.1186/s42466-024-00325-4
Adequate treatment for an akinetic crisis should be given early and sufficiently, ideally in an intermediate or intensive care unit, especially if complications develop.
Risk factors that can cause an akinetic crisis, such as infections, should be treated immediately.
Supportive therapy approaches such as fluid intake, thrombosis prophylaxis, fever-reducing measures and regular monitoring of vital functions should be implemented.
Dopaminergic medication in the form of soluble levodopa via a nasogastric tube, subcutaneous or sublingual application of apomorphine or transdermal rotigotine should be ensured.
Non-dopaminergic drugs such as intravenous amantadine sulphate should be considered or, in specific cases, benzodiazepines.
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