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Tardive dystonia of the larynx in a quadriplegic patient: an unusual cause of stridor

Published online by Cambridge University Press:  08 March 2006

H. Rowley
Affiliation:
Department of Otolaryngology, Mater Hospital and Beaumont Hospital, Dublin, Ireland.
T. Lynch
Affiliation:
Department of Neurology, Mater Hospital and Beaumont Hospital, Dublin, Ireland.
I. Keogh
Affiliation:
Department of Otolaryngology, Mater Hospital and Beaumont Hospital, Dublin, Ireland.
J. Russell
Affiliation:
Department of Otolaryngology, Mater Hospital and Beaumont Hospital, Dublin, Ireland.

Abstract

We describe a case of a quadriplegic brain-damaged man with severe upper airway obstruction. A diagnosis of tardive dystonia affecting the vocal folds was made and confirmed by flexible nasopharyngoscopy. Emergency tracheotomy was required. The tardive movement disorder resolved with discontinuation of thioridazine. This case serves to heighten awareness of potentially serious airway complications associated with the use of anti-psychotics and anti-emetics particularly in those with organic brain disease.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2001

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