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Havaki-Kontaxaki BJ, Kontaxakis VP, Margariti MM, et al. Treatment of severe neuroleptic-induced tardive torticollis. Ann Gen Hosp Psychiatry. 2003;2(1):9doi: 10.1186/1475-2832-2-9.
Havaki-Kontaxaki, B. J., Kontaxakis, V. P., Margariti, M. M., Paplos, K. G., & Christodoulou, G. N. (2003). Treatment of severe neuroleptic-induced tardive torticollis. Annals of general hospital psychiatry, 2(1), 9. https://doi.org/10.1186/1475-2832-2-9
Havaki-Kontaxaki, Beata J, et al. "Treatment of severe neuroleptic-induced tardive torticollis." Annals of general hospital psychiatry vol. 2,1 (2003): 9. doi: https://doi.org/10.1186/1475-2832-2-9
Havaki-Kontaxaki BJ, Kontaxakis VP, Margariti MM, Paplos KG, Christodoulou GN. Treatment of severe neuroleptic-induced tardive torticollis. Ann Gen Hosp Psychiatry. 2003 Oct 17;2(1):9. doi: 10.1186/1475-2832-2-9. PMID: 14613515; PMCID: PMC270069.
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Ann Gen Hosp Psychiatry. 2003 Oct 17;2(1):9. doi: 10.1186/1475-2832-2-9.

Treatment of severe neuroleptic-induced tardive torticollis.

Annals of general hospital psychiatry

Beata J Havaki-Kontaxaki, Vassilis P Kontaxakis, Maria M Margariti, Konstantinos G Paplos, George N Christodoulou

Affiliations

  1. Department of Psychiatry, University of Athens, Eginition Hospital, Athens, Greece. [email protected]

PMID: 14613515 PMCID: PMC270069 DOI: 10.1186/1475-2832-2-9

Abstract

BACKGROUND: The aim of this paper is to describe a case of severe neuroleptic-induced tardive torticollis successfully treated with a combination of clozapine, clonazepam and botulinum toxin-A. CASE REPORT: The patient, a 30-year old man with a seven-year history of delusional disorder experienced severe right torticollis with painful tightness of the neck and elevation of the shoulder. At this time he was receiving haloperidol 20 mg, trifluoperazine 5 mg, zuclopenthixol 20 mg and biperidine 4 mg daily. The combination therapy with clozapine and clonazepam and the long-term use of botulinum toxin-A resulted in a complete remission of dystonic movements. CONCLUSIONS: The present observations provide evidence indicating that this combination therapy may be of benefit in patients with severe neuroleptic-induced tardive torticollis.

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