Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-19T02:25:04.762Z Has data issue: false hasContentIssue false
  • English
  • Français

Acute Dystonic Reactions Complicated by Psychotic Phenomena

Published online by Cambridge University Press:  02 January 2018

A. Thornton  and
P. J. McKenna
A. Thornton*
Affiliation:
Cambridge Rotational Training Scheme, Fulbourn Hospital, Cambridge
P. J. McKenna
Affiliation:
Fulbourn Hospital, Cambridge CB1 5EF
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

Four schizophrenic patients are reported in whom the acute development of dystonic muscle spasms, usually involving gaze deviation, was accompanied by the exacerbation or appearance of psychotic symptoms. In all cases the relationship between the neurological and psychiatric phenomena was close, and sometimes the presentation was bizarre or dramatic. The similarity of these states to the complex neuropsychiatric disturbances seen in post-encephalitic Parkinsonism is emphasised.

Type
Brief Reports
Information
The British Journal of Psychiatry , Volume 164 , Issue 1 , January 1994 , pp. 115 - 118
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chiu, L. P. W. (1989) Transient recurrence of auditory hallucinations during acute dystonia. British Journal of Psychiatry, 155, 110–113.CrossRefGoogle ScholarPubMed
Jelliffe, S. E. (1929) Psychological components in postencephalitic oculogyric crises. Archives of Neurology and Psychiatry, 21, 491–532.CrossRefGoogle Scholar
Lees, A. J. (1985) Tics and Related Disorders. Edinburgh: Churchill Livingstone.Google Scholar
Marsden, C. D. & Jenner, P. (1980) The pathophysiology of extrapyramidal side-effects of neuroleptic drugs. Psychological Medicine, 10, 55–72.CrossRefGoogle ScholarPubMed
Marsden, C. D. & Quinn, N. P. (1990) The dystonias. British Medical Journal, 300, 139–144.CrossRefGoogle ScholarPubMed
McKenna, P. J., Lund, C. E., Mortimer, A. M., et al (1991) Motor, volitional and behavioural disorders in schizophrenia 2: The ‘Conflict of Paradigms’ hypothesis. British Journal of Psychiatry, 158, 328–336.CrossRefGoogle ScholarPubMed
Owens, D. G. C. (1990) Dystonia - a potential psychiatric pitfall. British Journal of Psychiatry, 156, 620–634.CrossRefGoogle ScholarPubMed
Reynolds, G. P. (1989) Beyond the dopamine hypothesis: the neurochemical pharmacology of schizophrenia. British Journal of Psychiatry, 155, 305–316.CrossRefGoogle Scholar
Rogers, D. (1985) The motor disorders of severe psychiatric illness: a conflict of paradigms. British Journal of Psychiatry, 147, 221–232.CrossRefGoogle ScholarPubMed
Sacks, O. W. (1982) Awakenings. New York: Dutton.Google Scholar
Van Putten, T., Mutalipassi, L. R. & Malkin, M. D. (1974) Phenothiazine-induced decompensation. Archives of General Psychiatry, 30, 102–105.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.