Tardive Nocturnal Akathisia Due to Clozapine Treatment

2005 ◽  
Vol 35 (2) ◽  
pp. 207-211 ◽  
Author(s):  
Dimitris Kyriakos ◽  
Vasilis P. Bozikas ◽  
George Garyfallos ◽  
Grigoris Lavrentiadis ◽  
John Giouzepas ◽  
...  
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Atypical Antipsychotics ◽  
Antipsychotic Agents ◽  
Clozapine Treatment ◽  
Paranoid Type ◽  
One Year ◽  
Tardive Akathisia

In the following case report we present a 43-year-old male patient diagnosed with schizophrenia, paranoid type, who exhibited nocturnal tardive akathisia or pseydoakathisia approximately one year after being treated with clozapine 300 mg per day. Because of the low occurrence of akathisia due to clozapine, the episodes of restlessness were at first considered as a sign of worsening of the patient's psychopathology. Since the patient was resistant to other antipsychotic agents, clozapine was reinitiated. A week later, the patient once again exhibited episodes of restlessness. This time, the episodes were diagnosed as akathisia and the patient was treated with biperidene and lorazepam, while he had already been on propanolol for cardiovascular reasons. The episodes continued without any change in frequency or severity. Therefore, treatment with clozapine was discontinued and the patient was started on a new regimen with ziprasidone. Three days later, the episodes that caused distress to the patient resolved. Thus, it is possible that apart from episodes of acute akathisia, episodes of tardive akathisia or pseydoakathisia can also occur in patients treated with atypical antipsychotics.

scholarly journals Delayed replantation: Can it be a success?

1970 ◽  
Vol 6 (4) ◽  
pp. 497-501
Author(s):  
A Parolia ◽  
M Kundabala ◽  
N Shetty ◽  
ST Manuel
Keyword(s):  
Medical Journal ◽  
Case Report ◽  
Key Words ◽  
Male Patient ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
One Year

This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption doi: 10.3126/kumj.v6i4.1742     Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 497-501     

scholarly journals Clozapine-induced rabbit syndrome: a case report

2009 ◽  
Vol 1 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Cicek Hocaoglu
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Case History ◽  
Atypical Antipsychotics ◽  
Paranoid Schizophrenia ◽  
Background Information ◽  
Clozapine Treatment ◽  
History Of ◽  
Typical Antipsychotics

Rabbit syndrome (RS) is an antipsychoticinduced rhythmic motion of the mouth/lips resembling the chewing movements of a rabbit. The movement consists of a vertical-only motion, at about 5 Hz, with no involvement of the tongue. Long-term exposure to typical antipsychotics has clearly been associated with RS, but little is known of the risk of RS due to exposure to newer atypical antipsychotics. There have been isolated reports of RS in patients treated with the atypical agents risperidone, aripiprazole, olanzapine, and clozapine. We present the case history of a 44-year old female patient treated for paranoid schizophrenia for 22 years and RS during her last 10-month clozapine treatment. Background information from the literature is also discussed.

scholarly journals Intentional replantation: case report

2021 ◽  
Vol 9 (10) ◽  
pp. 3167
Author(s):  
Cristhal Duque-Urióstegui ◽  
Luis A. Alvarez Hernández ◽  
Yanirethe I. Muñoz-Ramírez ◽  
Verónica Vallejo Ochoa ◽  
Noemí Méndez Hernández ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Regeneration ◽  
Male Patient ◽  
Tooth Extraction ◽  
Radiographic Study ◽  
Retrograde Filling ◽  
One Year

Intentional reimplantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth. We present the case of a 50-year-old male patient who came to the consultation due to incrustation detachment in tooth #37, when performing the radiographic study an extensive apical lesion was observed in tooth #36 with a sinuous path and the presence of purulent exudate. The tooth #36 was extracted, apicoectomy, retro preparation and retrograde filling were carried out for later reimplantation, showing bone regeneration after one year of evolution.

scholarly journals Pediatric nasal reconstruction with frontal flap: a case report

2019 ◽  
Vol 7 (4) ◽  
pp. 1375
Author(s):  
Osvaldo Ivan Guevara Valmaña ◽  
Armando G. Apellaniz Campo ◽  
Daniel Angeles Gaspar ◽  
Leslie M. Leyva Sotelo ◽  
Enrique Chavez Serna ◽  
...  
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Nasal Reconstruction ◽  
Nasal Deformity ◽  
Dog Bite ◽  
Nasal Tip ◽  
Partial Amputation ◽  
One Year

Authors presented the case of a 4-year-old male patient who suffered a dog bite on his face with partial amputation of the nasal tip, managed at another institution conservatively, so that one year after the injury he came for the nasal deformity. A frontal flap was performed for reconstruction achieving excellent results, coverage was achieved with similar characteristics of the skin as color and texture. The patient had a follow-up of 5 years with an appropriate course. Authors presented the case due to few reports in the literature of its use in children, where it can be observed that it is an excellent reconstructive tool.

scholarly journals Surgical Management of Mandibular Central Incisors with Dumbbell Shaped Periapical Lesion: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Roopadevi Garlapati ◽  
Bhuvan Shome Venigalla ◽  
Jayaprakash D. Patil ◽  
Thumu Jayaprakash ◽  
C. H. Krishna Chaitanya ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Male Patient ◽  
Root Canal ◽  
Alveolar Bone ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Traumatic Injuries ◽  
Cystic Changes ◽  
One Year

Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

scholarly journals Papular granuloma annulare of palms and soles: case report of a rare presentation.

F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 32 ◽  
Author(s):  
Sidharth Sonthalia ◽  
Rahul Arora ◽  
Rashmi Sarkar ◽  
Uday Khopkar
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Topical Steroid ◽  
Granuloma Annulare ◽  
Common Disease ◽  
Rare Presentation ◽  
Soles Of The Feet ◽  
One Year ◽  
Indian Male

We report the case of a 44-year-old Indian male patient who presented with mildly tender isolated papular lesions confined to the palms of the hands and soles of the feet. The histopathology was characteristic of granuloma annulare. There was an excellent response with 4-week treatment with a potent topical steroid ointment and no recurrence was reported at the follow-up one year later. This report is interesting because of the rare presentation of a common disease.

scholarly journals The use of clozapine and clonazepam co-administration in the treatment of a severe tardive dyskinesia: A case report

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983325 ◽  
Author(s):  
Kibrom Haile ◽  
Halima Umer
Keyword(s):  
Case Report ◽  
Tardive Dyskinesia ◽  
Movement Disorder ◽  
Male Patient ◽  
Body Movements ◽  
Clozapine Treatment ◽  
Receive Treatment

This is a case report of a patient who was treated with clozapine and clonazepam after he developed neuroleptic-induced tardive dyskinesia following treatment for schizophrenia. There are reports of clozapine treatment itself causing tardive dyskinesia; however, more reports have shown clozapine’s benefit for patients with neuroleptic-induced tardive dyskinesia. This is a case report of a patient with neuroleptic-induced tardive dyskinesia who benefitted from clozapine treatment with adjuvant use of clonazepam – the first such case report from Ethiopia. A 43-year-old male patient developed severe involuntary abnormal body movements mainly involving the trunk after he received chlorpromazine for 8 years for the diagnosis of schizophrenia. When the movement disorder became intolerable and disabling, the diagnosis of severe neuroleptic-induced tardive dyskinesia was established and the patient was started on clozapine with adjuvant clonazepam treatment. Following such management, the patient responded well and the dyskinetic movements were fully controlled, and the patient was able to work. Patients with severe and disabling neuroleptic-induced tardive dyskinesia can be treated and be productive if they receive treatment with clozapine, with adjuvant use of clonazepam.

scholarly journals An 11-Year-Old Male Patient with Refractory Asthma and Heartburn

2011 ◽  
Vol 18 (2) ◽  
pp. 81-83 ◽  
Author(s):  
Tareq Al-Abdoulsalam ◽  
Mark A Anselmo
Keyword(s):  
Case Report ◽  
Present Article ◽  
Male Patient ◽  
Illustrative Case ◽  
Tracheal Compression ◽  
Proximal Esophagus ◽  
Gi Symptoms ◽  
History Of ◽  
One Year ◽  
Refractory Asthma

Achalasia is characterized by obstruction of the distal esophagus and subsequent dilation of the proximal esophagus, and is considered to be a rare disorder in children. Patients commonly present with gastrointestinal (GI) symptoms such as dysphagia; however, pulmonary symptoms may also occur. Rare pulmonary symptoms due to achalasia are dyspnea and wheeze due to tracheal compression. The authors describe an 11-year-old boy who was referred to a pediatric respiratory clinic for asthma that was not responsive to inhaled medications. The child presented with a one-year history of dyspnea on exertion, cough and wheeze. He also complained of chronic dyspepsia. The presence of GI symptoms, in addition to abnormalities on chest radiograph and spirometry, suggested the presence of achalasia. The diagnosis was confirmed and the patient subsequently underwent surgical myotomy that relieved his GI and pulmonary symptoms, and normalized spirometry. The present article is an illustrative case report to remind pediatricians to consider other diagnoses when a patient does not respond to asthma medications.

The Effectiveness of Behaviour Therapy in Writer’s Cramp: A Case Report

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mahesh M M ◽  
Dr. Johnson Alex
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Family History ◽  
Male Patient ◽  
Motor Nerve ◽  
Conclusive Evidence ◽  
Behaviour Therapy ◽  
Present Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp

42 years old male patient referred from neurology department, working as a teacher, educated up to MSc, premorbidly anxious personality, family history mental illness (first degree relatives), comes from MSES with presenting complaints of difficulty in writing or copying since seven years. Disability progressed and he was unable to write even a few words legibly and could not hold object which leads to anxiety and dependency. When the patient was examined at Neurology OPD, find out that he has normal sensory and motor nerve functions. The present treatment involved the use of Bahaviour therapy. The findings in this case is very encouraging and studies with large sample sizes can be considered for further conclusive evidence on the treatment of writer’s cramp.

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