Fig. 3.

Thought process in the first 24 h. a demonstrates an algorithm for management in the first 24 h. After excluding other movement disorders emergencies outlined in Table 1, dystonic or mixed dystonic/choreic storms should be distinguished from pure choreic storm. b demonstrates a flow chart of the subsequent thought process in the first 24 h. The goals are to 1) identify triggers such as infection and medication changes, and treat accordingly, and 2) address if the patient is a candidate for GPi DBS or ITB pump. Abbreviations: D2, D2 dopamine receptor; GPi DBS, globus pallidus interna deep brain stimulation; hrs, hours; ITB, intrathecal baclofen; Rx, treatment