Acute dystonic reaction: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Acute dystonic reaction: clinical features. Laryngeal spasm, Blepharospasm, Cervical dystonia, Buccolingual dystonia. Fully referenced neurology checklist.

Craniocervical dystonia

  • Oculogyric crisis: this is tonic, usually upwards, deviation of the eyes
  • Laryngeal spasm
  • Blepharospasm
  • Cervical dystonia
  • Buccolingual dystonia

Acute akathisia

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Baclofen withdrawal syndrome

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Neuroleptic malignant syndrome

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Other clinical features

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Treatment

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References

  1. Munhoz RP, Moscovich M, Araujo PD, Tieve HAG. Movement disorders emergencies: a review. Arq Neuropsiquiatr 2012; 70:453-461.
  2. Tousi B. Movement disorder emergencies in the elderly: recognizing and treating an often-iatrogenic problem. Cleve Clin J Med 2008; 75:449-457. 
  3. Slow EJ, Lang AE. Oculogyric crises: a review of phenomenology, etiology, pathogenesis, and treatment. Mov Disord 2017; 32:193-202. 
  4. Barow E, Schneider SA, Bhatia KP, Ganos C. Oculogyric crises: Etiology, pathophysiology and therapeutic approaches. Parkinsonism Relat Disord 2017; 36:3-9.

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