A case of neuroleptic-induced unilateral akathisia with periodic limb movements in the opposite side during sleep.
We report on a patient with schizoaffective disorder who developed unilateral akathisia. This is the first case report of a patient with neuroleptic-induced unilateral akathisia on whom an all-night polysomnogram was recorded. On the polysomnogram we observed right side periodic limb movements (PLM) with left side unilateral akathisia, and after her akathisia disappeared, the PLM also disappeared. Brain MRI findings and neurological findings were within normal limits. The pathogenetic lesion causing akathisia could not be elucidated.
Yamashita
H
H
Department of Psychiatry and Neurosciences, Hiroshima University School of Medicine, Japan.
Horiguchi
J
J
Mizuno
S
S
Kuramoto
Y
Y
Yamawaki
S
S
Inami
Y
Y
D000208:Acute Disease; D000328:Adult; D017109:Akathisia, Drug-Induced / Q000175:diagnosis / Q000209:etiology*; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D004292:Dominance, Cerebral / Q000187:drug effects*; D004305:Dose-Response Relationship, Drug; D005260:Female; D006220:Haloperidol / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D017286:Polysomnography / Q000187:drug effects; D011618:Psychotic Disorders / Q000188:drug therapy*; D012148:Restless Legs Syndrome / Q000139:chemically induced* / Q000175:diagnosis; D012893:Sleep Wake Disorders / Q000139:chemically induced* / Q000175:diagnosis
D014150:Antipsychotic Agents; D006220:Haloperidol