Acute dystonic reactions

In this episode, we will discuss a case involving an acute dystonic reaction and its aetiology. Symptom clusters include: Oculogyric - Upward or lateral deviation of eyes Boccolingual - Facial grimacing +/- dysarthria and/or dysphagia Torticollic - Spasms of neck musculature Tortipelvic - Abdominal wall musculature spasms Opisthotous - tetanic spasm where spine and extremities are bent forward Sources: Queensland Ambulance Service . (2022). Clinical Practice Guideline: Medical / Acute dystonic reaction. In Queensland Ambulance Service. https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0017/219041/cpg_acute-dystonic-reaction.pdf Lewis, K., & O’Day, C. S. (2023, May). Dystonic Reactions. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK531466/#:~:text=An%20acute%20dystonic%20reaction%20is,to%20abnormal%20movements%20or%20postures. Drug-induced movement disorders. (2019). Dystonia Medical Research Foundation. https://dystonia-foundation.org/what-is-dystonia/types-dystonia/drug-induced/#:~:text=Treatment%20for%20acute%20dystonia%20includes,within%2012%20to%2048%20hours. Kowalski, M. (2024, August 2). Medication-Induced Dystonic Reactions: Practice Essentials, Pathophysiology, Etiology. Medscape.com; Medscape. https://emedicine.medscape.com/article/814632-overview Sullivan, O. (2024). Dystonic Reaction. Emed.ie. https://emed.ie/Toxicology/Dystonic_Reaction.php Campbell, D. (2001). The management of acute dystonic reactions. Australian Prescriber, 24(1), 19–20. https://doi.org/10.18773/austprescr.2001.011