Tardive dyskinesia: Difference between revisions
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**Grimacing, Tongue movements, Lip smacking, Excessive eye blinking | **Grimacing, Tongue movements, Lip smacking, Excessive eye blinking | ||
*Often occurs after years of treatment with neuroleptic agents | *Often occurs after years of treatment with neuroleptic agents | ||
*Risk factors: | |||
**Longer duration of neuroleptic treatment | |||
**Concomitant mood disorder | |||
**Patient age, particularly elderly females | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 22:31, 10 October 2018
Background
- Orofacial involuntary movements
- Described as grimacing, writhing and choreathetoid
- Grimacing, Tongue movements, Lip smacking, Excessive eye blinking
- Often occurs after years of treatment with neuroleptic agents
- Risk factors:
- Longer duration of neuroleptic treatment
- Concomitant mood disorder
- Patient age, particularly elderly females
Evaluation
- Clinical diagnosis
Differential Diagnosis
- See DDX for chorea
Management
- Mild Symptoms: Cessation of the neuroleptic drug or decreasing the dose
- Moderate to Severe Symptoms: Reserpine and tetrabenazine
See Also
References
- Hockberger RS, Richards JR: Thought Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 110: p 1460-1466