Signs

Oculogyric Crisis (lasting for minutes)

Oculogyric crises are defined as spasmodic movements of the eyeballs into a fixed position, usually upwards. These episodes generally last minutes, but can range from seconds to hours.

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Opisthotonus

Trunk hyper extension

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Mimicker

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Treatment

Treatment for Acute Dystonia

  1. Stop Anti-psychotic
  2. Symptomatic Management
Dose Daily max Onset of action
‣ 1-2 mg PO/IM q4h PRN for EPS 6 mg < 1 hour
‣ 25-50 mg po/IM/IV q4h PRN for EPS 200 mg 1-3 hours