POSTNEUROLEPTIC LARYNGEAL DYSKINESIAS - A CAUSE OF UPPER AIRWAY OBSTRUCTIVE SYNDROME IMPROVED BY LOCAL INJECTIONS OF BOTULINUM TOXIN

被引：16

作者：

FEVE, A ^{[1
]}

ANGELARD, B ^{[1
]}

FENELON, G ^{[1
]}

LOGAK, M ^{[1
]}

GUILLARD, A ^{[1
]}

SAINTGUILY, JL ^{[1
]}

机构：

[1] HOP TENON,SERV OTORHINOLARYNGOL,F-75970 PARIS 20,FRANCE

来源：

MOVEMENT DISORDERS | 1993年 / 8卷 / 02期

关键词：

UPPER AIRWAY OBSTRUCTION; TARDIVE DYSKINESIA; NEUROLEPTIC; BOTULINUM TOXIN; LARYNGEAL SPASM;

D O I：

10.1002/mds.870080220

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report a case of laryngeal dyskinesia resulting in severe rest and exercise dyspnea. A 51-year-old man treated for 2 years with flupentixol, an incisive neuroleptic, developed severe dyspnea due to intermittent, rhythmic, and dystonic movements of the vocal cords and upper airway. Local injections of botulinum toxin resulted in spectacular regression of laryngeal spasms and major improvement in breathing. This case emphasizes the risk of upper respiratory dyskinesias associated with neuroleptic treatment and shows the feasibility of a new local treatment in this life-threatening disorder.

引用

页码：217 / 219

页数：3

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