We present a 21-year-old woman with an oculogyric crisis following the administration of clebopride. Based on the temporal relationship of the administration of clebopride to the occurrence of the event and the absence of other possible etiologies, clebopride is implicated as the cause of this acute oculogyric crisis, despite the fact that a cause-and-effect relationship cannot be confirmed.

Oculogyric crisis is an acute dystonic reaction of the ocular muscles characterized by bilateral dystonic elevation of visual gaze lasting from seconds to hours. This reaction is most commonly explained as an adverse reaction to drugs such as antiemetics, antipsychotics, antidepressants, antiepileptics, and antimalarials. Although the incidence of metoclopramide-induced acute dystonic reactions...

BACKGROUND Oculogyric crises are involuntary movements of the eyeballs and can occur due to different etiologies. PHENOMENOLOGY SHOWN This video abstract shows a man with oculogyric crises due to side effect of neuroleptics. EDUCATIONAL VALUE Oculogyric crises are easy to recognize if once seen.

Sir, Risperidone in low doses (< 6 mg) is reported to be relatively free from extrapyramidal side effects including dystonia, akathisia, druginduced parkinsonism and tardive dyskinesia (Thomas and Lewis, 1998). A double blind study, which included 388 schizophrenic patients drawn from 20 sites in the United States, reported that the incidence of extrapyramidal symptoms in patients receiving 6 m...

http://jnnp.bmj.com/content/81/4/469.full.html Updated information and services can be found at: These include: References http://jnnp.bmj.com/content/81/4/469.full.html#ref-list-1 This article cites 4 articles, 1 of which can be accessed free at: service Email alerting box at the top right corner of the online article. Receive free email alerts when new articles cite this article. Sign up in t...

The use of antipsychotics in treatment of children and adolescents requires good knowledge of psychopathology, psychofarmacotherapy, developmental processes and family relations. It is necessary to have parental consent for the use of a medication in this age, with previous explanation of therapeutic goals, limitations and possible side effects of antipsychotics. The number of antipsychotics re...

Tetrabenazine is used in the treatment of chorea, tardive dyskinesia, tics, and dystonia. It rarely causes acute eyeball dystonia and the description of this complication in Gilles de la Tourette syndrome is limited. We provide a description of an acute oculogyric crisis caused by tetrabenazine in a patient with severe tics. The patient had never developed acute dystonic reactions, although he ...