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Treatment was based on the theory that there is an imbalance of the neurotransmitter dopamine in the basal ganglia. These drugs have fallen out of fashion due to various serious side effects: sedation, parkinsonism, and tardive dyskinesia. [16] Other oral medications can be used in low doses to treat early stages of spasmodic torticollis.
Use experimentally to investigate potential treatment in situ pulmonary adenocarcinoma; No clinical use Botulinum toxin: Inhibiting acetylcholine release 3–5 days 3–4 months Very potent; Botulinum poisoning cause parasympathetic and motor paralysis; Muscle relaxants Treat cervical dystonia, spasticity, blepharospasm and overactive bladder
Late-onset dyskinesia, also known as tardive dyskinesia, occurs after long-term treatment with an antipsychotic drug such as haloperidol (Haldol) or amoxapine (Asendin). The symptoms include tremors and writhing movements of the body and limbs, and abnormal movements in the face, mouth, and tongue – including involuntary lip smacking, repetitive pouting of the lips, and tongue protrusions.
Ear infections and surgical removal of the adenoids can cause an entity known as Grisel's syndrome, a subluxation of the upper cervical joints, mostly the atlantoaxial joint, due to inflammatory laxity of the ligaments caused by an infection. [21] The use of certain drugs, such as antipsychotics, can cause torticollis. [22]
Causes painful defecation, constipation; may be complicated by encopresis or fecal incontinence. Cervical dystonia (spasmodic torticollis) muscles of the neck: Causes the head to rotate to one side, to pull down towards the chest, or back, or a combination of these postures. Blepharospasm: muscles around the eyes
Causes: Neuroleptic medications (antipsychotics), metoclopramide [1] [2] Diagnostic method: Based on symptoms after ruling out other potential causes [1] Differential diagnosis: Huntington's disease, cerebral palsy, Tourette syndrome, dystonia [2] Prevention: Using lowest possible dose of neuroleptic medication [3] Treatment
These motor fluctuations occur in up to 80% of PD patients after 5–10 years of l-DOPA treatment, [2] with the percentage of affected patients increasing over time. [3] Based on the relationship with levodopa dosing, dyskinesia most commonly occurs at the time of peak l-DOPA plasma concentrations and is thus referred to as peak-dose dyskinesia ...
Medications are used to reverse the symptoms of extrapyramidal side effects caused by antipsychotics or other drugs, by either directly or indirectly increasing dopaminergic neurotransmission. The treatment varies by the type of the EPS, but may involve anticholinergic agents such as procyclidine, benztropine, diphenhydramine, and trihexyphenidyl.