title: Auto-amputation of the tongue associated with flupenthixol induced extrapyramidal symptoms.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, Baragwanath Hospital, University of the Witwatersrand, Medical School, Johannesburg, South Africa.
authors.forename: L
authors.initials: L
authors.lastname: Pantanowitz
authors.forename: M
authors.initials: M
authors.lastname: Berk
mesh_terms: 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
chemical_list: D005475:Flupenthixol