DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20193765

Cervical lympahadenitis with risperidone induced cervical dystonia

Ruchitha Reddy Akkati

Abstract


Abiogenic cervical dystonia, the most ordinary form of adult-onset focal dystonia, is elucidated as reflex muscle contractions. Idiopathic cervical dystonia is also called as spasmodic torticollis. The most habitually obliging medications were tetrabenazine (68% of patients upgraded) and anticholinergics (39% upgraded). Clinical manifestations include spinal curvature, local pain, muscle spasm, head-neck tremor and tremor in additional body regions. Antipsychotic drugs induce persistent dystonia. Lymphadenitis particularly refers to lymphadenopathies that are kindled by inflammatory processes. Treatment for lymphadenitis is complete antibiotic course of 10-14 days. A female patient of 14 years old presented with altered sensorium and neck tightness. She was diagnosed with cervical lymphadenopathy with risperidone induced cervical dystonia. She was treated with antibiotics and the patient was relieved from her symptoms by stopping the intake of risperidone for about 2 days.


Keywords


Cervical lymphadenopathy, Torticollis, Risperidone

Full Text:

PDF

References


William T, Robert E, Paul G, Stanley F. Current concepts on the clinical features, etiology and management of idiopathic cervical dystonia. J Neurol. 1998;121(4):547-60.

Joseph J, Stuart L, Dhyanne W, Kenneth S. Cervical dystonia Clinical findings and associated movement disorders. Neurology. 1991;41(7):1088.

Addonzio G, Alexopoulos GS. Drug-induced dystonia in young and elderly patients. Am J Psychiatry. 1998;145:869-71.

Mathews M, Gratz S, Adetunji B, George V, Mathews M, Basil B. Antipsychotic-induced movement disorders: evaluation and treatment. Psychiatry (Edgmont). 2005;2(3):36-41.

Mark S, Kimberly A. Secondary cervical dystonia associated with structural lesions of the central nervous system. Movement disorders: J Movement Disorder Society. 2003;18(1):60-9.

Joao C, Claudia C, Ana A, Jaoquim F, Miguel M, Peter M, et al. Botulinum toxin type A therapy for cervical dystonia. Cochrane Database Systematic Rev. 2005.

Draganski B, Thun-Hohenstein C, Bogdhan J, May A. “Motor circuit” gray matter changes in idiopathic cervical dystonia. 2003;61(9).

Alder CH, Kumar R. Pharmacological and surgical options for the treatment of cervical dystonia. Neurology. 2000;12(5):9-14.

John R, Laura V. Acute, subacute and chronic cervical lymphadenitis in children. Seminars Pedtr Surg. 2006;15(2):99-106.

Timothy R, Kathryn M. Cervical lymphadenopathy and adenitis. Pediatrics Rev. 2000;21(12):399-405.

Robert E, Stanley F, Joseph J, Marsden CD, Anthony E, Stephen G, et al. Tardive dystonia Late-onset and persistent dystonia caused by antipsychotic drugs. Neurology (Ny) 1982;32:1335-46.

Jane C, Mitchell F, Stanley F. Idiopathic cervical dystonia: clinical characteristics. Movement disorders. J Movement Disorder Society. 1991;6(2):119-26.