Treatment of severe neuroleptic-induced tardive torticollis

Autor: Havaki-Kontaxaki, Beata J, Kontaxakis, Vassilis P, Margariti, Maria M, Paplos, Konstantinos G, Christodoulou, George N
Jazyk: angličtina
Rok vydání: 2003
Předmět:
Zdroj: Annals of General Hospital Psychiatry
ISSN: 1475-2832
Popis: BACKGROUND: The aim of this paper is to describe a case of severe neuroleptic-induced tardive torticollis successfully treated with a combination of clozapine, clonazepam and botulinum toxin-A. CASE REPORT: The patient, a 30-year old man with a seven-year history of delusional disorder experienced severe right torticollis with painful tightness of the neck and elevation of the shoulder. At this time he was receiving haloperidol 20 mg, trifluoperazine 5 mg, zuclopenthixol 20 mg and biperidine 4 mg daily. The combination therapy with clozapine and clonazepam and the long-term use of botulinum toxin-A resulted in a complete remission of dystonic movements. CONCLUSIONS: The present observations provide evidence indicating that this combination therapy may be of benefit in patients with severe neuroleptic-induced tardive torticollis.
Databáze: OpenAIRE