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Clinical and Polygraphic Characteristics of Patients with Respiratory Dyskinesia

Published online by Cambridge University Press:  02 January 2018

Helen F. K. Chiu ,
Linda C. W. Lam ,
Christopher H. S. Chan ,
Crover K. W. Ho  and
Patrick P. S. Shum
Helen F. K. Chiu*
Affiliation:
Department of Psychiatry, Chinese University of Hong Kong, 11/F, Prince of Wales Hospital, Shatin, Hong Kong
Linda C. W. Lam
Affiliation:
Kwai Chung Hospital, Hong Kong
Christopher H. S. Chan
Affiliation:
Department of Medicine, Chinese University of Hong Kong
Crover K. W. Ho
Affiliation:
Department of Psychiatry, Chinese University of Hong Kong
Patrick P. S. Shum
Affiliation:
Mental Health Services, Hong Kong
*
∗Correspondence
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Abstract

Respiratory dyskinesia is characterised by irregularity in rate, rhythm and depth of breathing. This study reports on the clinical features of 11 patients with respiratory dyskinesia identified from a mental hospital in Hong Kong, together with the results of the 24-hour polygraphic recording of seven patients. Virtually all patients with respiratory dyskinesia had tardive dyskinesia. However, the condition was missed or misdiagnosed in all cases by the case psychiatrists. The respiratory irregularity persisted for most of the day and only disappeared when patients took a prolonged rest or fell asleep. A standardised clinical examination for respiratory dyskinesia is proposed.

Type
Brief Reports
Information
The British Journal of Psychiatry , Volume 162 , Issue 6 , June 1993 , pp. 828 - 830
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Burke, R. E., Fahn, S., Jankovic, J., et al (1982) Tardive dystonia: late onset and persistent dystonia caused by antipsychotic drugs. Neurology, 32, 1335–1346.CrossRefGoogle ScholarPubMed
Carskadon, M. & Dement, W. (1981) Respiration during sleep in the aged human. Journal of Gerontology, 36, 420–423.Google Scholar
Chlang, E., Pitts, W. M. & Rodriguez-Garcia, M. (1985) Respiratory dyskinesia: review and case reports. Journal of Clinical Psychiatry, 46, 232–234.Google Scholar
Chiu, H. F. K., Shum, P. S., Lau, J., et al (1992) Prevalence of tardive dyskinesia, tardive dystonia and respiratory dyskinesia in Chinese psychiatric patients in Hong Kong. American Journal of Psychiatry, 149, 1081–1085.Google ScholarPubMed
Guilleminault, C. & Dement, W. (1988) Sleep apnoea syndromes and related sleep disorders. In Sleep Disorders: Diagnosis and Treatment (eds Williams, R. L. & Karacan, I.) (2nd edn). New York: Wiley.Google Scholar
McGavin, C. R., Artvinli, M., Naoe, H., et al (1978) Dyspnoea, disability and distance walked: comparison of estimates of exercise performance in respiratory disease. British Medical Journal, ii, 241–243.Google Scholar
Rechtschaffen, A. & Kales, A. (1968) A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages in Human Subjects. Washington, DC: US Department of Health, Education and Welfare, Public Health Service, US Government Printing Office.Google Scholar
Schooler, N. R. & Kane, J. M. (1982) Research diagnoses for tardive dyskinesia. Archives of General Psychiatry, 39, 486–487.Google ScholarPubMed
Smith, R. C., Allen, R., Gordon, J., et al (1983) A rating scale for tardive dyskinesia and Parkinsonian symptoms. Psychopharmacology Bulletin, 19, 266–276.Google Scholar
Villeneuve, A., Jus, K. & Jus, A. (1973) Polygraphic studies of tardive dyskinesia and of the rabbit syndrome during different stages of sleep. Biological Psychiatry, 6, 259–274.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.Google Scholar
Yassa, R. & Lal, S. (1985) Respiratory irregularity and tardive dyskinesia. Acta Psychiatrica Scandinavica, 73, 506–510.CrossRefGoogle Scholar
Youssef, H. A. & Waddington, J. L. (1989) Characterisation of abnormal respiratory movements in schizophrenic, bipolar and mentally handicapped patients with typical tardive dyskinesia. International Clinical Psychopharmacology, 4, 55–59.Google Scholar
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