Objective: To study the pattern and spectrum of Movement Disorders patients seen at a Private Movement Disorders Clinic in India

Background: There is lack of epidemiological studies on Movement Disorders in India, along with significant differences between patients seen at Institutional practice v/s a Private Practice.  This paper aims to bring out the pattern of patients seen in Private specialized Movement Disorders Clinic from India.

Method: Patients who attended the specialty Movement Disorders clinic between January 2012 to December 2018 were included in the Study.  The demographic pattern and diagnostic variations in these group over these years has been descriptively analyzed.

Results: During the study period, 2412 new patients were seen at the clinic with male preponderance (63.4%).  The mean age of this cohort was 54.9+/-17.4 (Range – 1yr to 89 years) at initial evaluation.  The common pure syndrome diagnosis was Parkinsonism (1332, 53.4%), Dystonia (483, 19.3%), Tremors (202, 8.1%), Myoclonus(including hemifacial spasms – 92- 3.6%), Ataxia (62, 2.5%), Chorea-Ballisum (54, 2.3%), Gait Disorders (7, 0.3%), Tic Disorders (15 – 0.7%) and remaining contributed by others which included syndromic disorders and asymptomatic individuals).  The predominant patient referrals were from medical community, which is increasing over the years. The other resource of referrals were web search (10%), friend/relatives or other sources.  Over the 7 year tenure the pattern of age, syndrome diagnosis and gender changes have remained same (Table-1).

Conclusion: The current study shows the pattern of Movement disorders in a private clinic based practice.  In comparison to published epidemiological studies, there is a significant skew in patients walking into a subspecialty clinic.  This study might help to understand, which pattern of patients attend subspecialty services and require help in diagnosis and management as compared to general prevalence of Movement Disorders.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/movement-disorders-spectrum-in-a-private-practice-setup-in-india-a-7-year-study/