Tsai Ching-Shu, Lee Yu, Chang Yung-Yee, Lin Pao-Yen
Department of Psychiatry, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung County, Taiwan.
Gen Hosp Psychiatry. 2008 May-Jun;30(3):277-9. doi: 10.1016/j.genhosppsych.2007.08.012.
Tardive laryngeal dystonia, a rare form of dystonic syndrome, was only reported to be induced by typical antipsychotics. Here, we report one case of ziprasidone-induced tardive laryngeal dystonia in a schizophrenic female patient, who showed dysphonia, hoarseness and dyspnea after taking ziprasidone 120 mg/day for 8 months. These symptoms were significantly improved after discontinuing ziprasidone and increasing the dose of trihexyphenidyl for 1 week. Although atypical antipsychotics are associated with a lower risk of extrapyramidal symptoms, caution should be taken for any tardive dystonic movement when using these medications.
迟发性喉肌张力障碍是肌张力障碍综合征的一种罕见形式,此前仅有报告称其由典型抗精神病药物诱发。在此,我们报告1例精神分裂症女性患者出现齐拉西酮诱发的迟发性喉肌张力障碍,该患者在每日服用120 mg齐拉西酮8个月后出现发音困难、声音嘶哑和呼吸困难。停用齐拉西酮并增加苯海索剂量1周后,这些症状得到显著改善。尽管非典型抗精神病药物所致锥体外系症状的风险较低,但使用这些药物时仍应警惕任何迟发性肌张力障碍性运动。