Vasanthi 45 years, was brought to casualty with abnormal movements which included persistent detion of neck to right side one day before she was prescribed Haloperidol 5 mgs three times daily from the psychiatry OPD. She also had an altercation with her husband recently. Which of the following is the most likely cause for her symptoms-
Ans. is 'a' i.e., Acute drug dystonia o Persistent detion of neck (Toicollis) after one day of taking haloperidol is a feature of acture muscular dystonia (acute drug dystonia). Acute muscular dystonia o Bizarre muscle spasms mostly involving linguo-facial muscles --> grimacing, tongue thrusting, toicollis, locked jaw. o Occurs within a few hours of a single dose. o More common in children below 10 years and girls. o Treatment --> central anticholinergic
Acute drug dystonia
Conversion reaction
Acute psychosis
Cerebrovascular accident