Abstract | BACKGROUND:
Movement disorder emergencies include any movement disorder which develops over hours to days, in which failure to appropriately diagnose and manage can result in patient morbidity or mortality.Movement disorder emergencies include acute dystonia: sustained or intermittent muscle contractions causing abnormal, often repetitive, movements. Acute dystonia is a serious challenge for emergency room doctors and neurologists, because of the high probability of misdiagnosis, due to the presence of several mimickers including partial seizures, meningitis, localized tetanus, serum electrolyte level abnormalities, strychnine poisoning, angioedema, malingering, catatonia, and conversion. METHODS: We describe 2 examples, accompanied by videos, of acute drug-induced oro-mandibular dystonia, both subsequent to occasional haloperidol intake. RESULTS: CONCLUSION: Alternative treatment options are also discussed.
|
Authors | Maria Vittoria De Angelis, Roberta Di Giacomo, Antonio Di Muzio, Marco Onofrj, Laura Bonanni |
Journal | Medicine
(Medicine (Baltimore))
Vol. 95
Issue 41
Pg. e5137
(Oct 2016)
ISSN: 1536-5964 [Electronic] United States |
PMID | 27741141
(Publication Type: Case Reports, Journal Article, Video-Audio Media)
|
Topics |
- Adult
- Diagnosis, Differential
- Disease Management
- Dystonia
(chemically induced, diagnosis, therapy)
- Emergencies
- Emergency Service, Hospital
- Female
- Humans
- Male
- Middle Aged
|