Weiner W J, Goetz C G, Nausieda P A, Klawans H L
Ann Intern Med. 1978 Mar;88(3):327-31. doi: 10.7326/0003-4819-88-3-327.
Four patients had acute dyspnea and chest pain due to primary neurologic disease, not to cardiac or pulmonary disorders. They suffered from severe, involuntary respiratory dyskinesias, which resulted in an irregular respiratory rate, shortness of breath, and chest discomfort. These respiratory dyskinesias occurred as one aspect of more generalized choreiform movement disorders. Three patients had neuroleptic-induced tardive dyskinesias, and one had levodopa-induced dyskinesias. As a result of their ages and the nature of their complaints, some of these patients were originally thought to have cardiac and pulmonary disorders. Respiratory dyskinesias should be considered as a possible cause of respiratory distress in patients with extrapyramidal dysfunction.
四名患者因原发性神经系统疾病而非心脏或肺部疾病出现急性呼吸困难和胸痛。他们患有严重的、不自主的呼吸运动障碍，导致呼吸频率不规则、呼吸急促和胸部不适。这些呼吸运动障碍是更广泛的舞蹈样运动障碍的一个方面。三名患者患有抗精神病药物引起的迟发性运动障碍，一名患者患有左旋多巴引起的运动障碍。由于他们的年龄和主诉的性质，这些患者中的一些最初被认为患有心脏和肺部疾病。呼吸运动障碍应被视为锥体外系功能障碍患者呼吸窘迫的可能原因。
