Abstract
Respiratory dyskinesia (RD) is a rarely-recognized side effect of antipsychotic medication. There are only few reports of respiratory dyskinesia in patients with tardive dyskinesia (TD), and almost all came from developed countries. Reported here is a case of a 58-year old lady who developed tardive dyskinesia while on typical antipsychotics and subsequently respiratory dyskinesia while on olanzapine. The diagnosis of respiratory dyskinesia was missed initially by the psychiatrists when the symptoms were mild and later by other specialists even when the presentation was classical. It is recommended that patients on antipsychotics, especially those with TD should be regularly examined for RD and when any clinician is managing a patient on an antipsychotic with respiratory problems, the possibility of RD should be considered.
Keywords: respiratory dyskinesia, olanzapine, rarely-recognized.
References
- Barnes TR, Braude WM (1985). Akathisia variants and tardive dyskinesia. Arch Gen Psychiatry 42(9): 874 – 8.
- Cummings JL, Wirshing WC (1990). Recognition and differential diagnosis of tardive dyskinesia. The international journal of psychiatry in Medicine 19(2): 133 – 144.
- Inada T, Yagi G, Kaijima K, Ohnishi K, Kamisada M, Rockhold RW (1991). Clinical variants of tardive dyskinesia in Japan. Psychiatry and clnical neurosciences 45(1): 67 - 71.
- Kruk J, Sachdev P, Singh S (1995). Neuroleptic-induced respiratory dyskinesia. J Neuropsychiatry Clin Neurosci 7: 223 – 9.
- Bhimanil MM, Khan MM, Khan MF, Waris MS (2011). Respiratory dyskinesia – an under-diagnosed side-effect of neuroleptic medications. J Pak Med Assoc 61(9): 930 – 2.
- Rich MW and S M Radwany SM (1994). Respiratory dyskinesia. An unrecognized phenomenon. Chest 105: 1826-32.
- Hirose S (2000). Restlessness of respiration as a manifestation of akathisia: five case reports of respiratory akathisia. J Clin Psychiatry 61(10): 737 – 741.
- Weiner WJ, Goetz CG, Nausieda PA, Klawans HL (1978). Respiratory dyskinesias: extrapyramidal dysfunction and dyspnoea. Annals of Internal Medicine 88(3): 327 331.
- Obayi NOK,Igwe MN, Ndukuba AC, Achor JU, Adagam G, Ojiako IS, Okey DO, Agwu AO, Anyanwu A (2016). Risperidone-related pedal oedema: Report of two cases from Nigeria. Nigerian Journal of Psychiatry, 14(2): 48 – 53.
Corresponding Author
Dr N. O. K. Obayi
Dept of Psychiatry, Ebonyi State University, Abakaliki, Nigeria
Phone: +2348037784345. Email: This email address is being protected from spambots. You need JavaScript enabled to view it.