Auto-amputation of the tongue associated with flupenthixol induced extrapyramidal symptoms.
We report a case of tongue auto-amputation in a mentally retarded patient after a flupenthixol injection. Four days after flupenthixol administration, the patient developed orolingual dyskinetic movements involving mainly tongue biting and protrusion. Self-mutilation in this case may be secondary to flupenthixol induced acute atypical orolingual dyskinesia in the face of mental retardation.
Pantanowitz
L
L
Department of Otorhinolaryngology, Baragwanath Hospital, University of the Witwatersrand, Medical School, Johannesburg, South Africa.
Berk
M
M
D000328:Adult; D000673:Amputation, Traumatic / Q000209:etiology*; D005475:Flupenthixol / Q000009:adverse effects* / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D012559:Schizophrenia / Q000188:drug therapy* / Q000503:physiopathology*; D014059:Tongue
D005475:Flupenthixol