Neuroleptic-induced dysphagia: case report and literature review.
Neuroleptic medication may cause extrapyramidal symptoms (EPS) that can affect swallowing as well. This report describes a case of drug-induced dysphagia in a 53-year-old man receiving haloperidol for treatment of schizophrenia. The diagnosis was established by fiberoptic endoscopic evaluation of swallowing. After changing medication to fluphenazin, dysphagic symptoms resolved. The literature on EPS-related dysphagia, its demographic features, typical symptoms, diagnostic modalities, clinical course, and treatment options is reviewed.
Dziewas
Rainer
R
Department of Neurology, University Hospital of Münster, Münster, Germany. dziewas@uni-muenster.de
Warnecke
Tobias
T
Schnabel
Martina
M
Ritter
Martin
M
Nabavi
Darius G
DG
Schilling
Matthias
M
Ringelstein
E Bernd
EB
Reker
Thomas
T
D014150:Antipsychotic Agents / Q000009:adverse effects*; D001480:Basal Ganglia Diseases / Q000139:chemically induced*; D003679:Deglutition / Q000187:drug effects*; D003680:Deglutition Disorders / Q000139:chemically induced*; D006220:Haloperidol / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000188:drug therapy
D014150:Antipsychotic Agents; D006220:Haloperidol