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Tardive dyskinesia presenting as severe dysphagia
R P Gregory1, P T Smith, P Rudge
1National Hospital for Neurology and Neurosurgery, London, UK.
Journal of Neurology, Neurosurgery, and Psychiatry
|December 1, 1992
Summary
Tardive dyskinesia can severely impact swallowing, even with minimal facial movements. Discontinuing neuroleptic medication resolved these severe dysphagia symptoms.
Area of Science:
- Neurology
- Pharmacology
Background:
- Tardive dyskinesia (TD) is a movement disorder often associated with long-term neuroleptic use.
- Orofacial dyskinetic movements are common clinical signs of TD.
Observation:
- This case highlights severe dysphagia as the primary symptom of tardive dyskinesia.
- Clinically apparent orofacial movements were minimal, complicating the initial diagnosis.
Findings:
- The patient's severe dysphagia was attributed to tardive dyskinesia.
- Cessation of neuroleptic medication led to the resolution of dysphagia and dyskinetic symptoms.
Implications:
- Dysphagia can be a predominant, yet overlooked, symptom of tardive dyskinesia.
- Early recognition and medication review are crucial for managing TD, especially when typical signs are absent.