title: Management of aripiprazole-induced tardive Pisa syndrome: a case report and literature review.
abstract: Pisa syndrome (PS) is characterized by an abnormally sustained posture with flexion of the body and head to one side and slight axial rotation of the trunk. PS has been related to the use of neuroleptics and is clinically classified as either an acute or a tardive dystonia. This is the first report describing a case of late-onset PS, occurring in a young patient treated with aripiprazole for 2 years. To establish optimal treatment management, we reviewed the literature on aripiprazole-induced PS and tardive dystonia. In light of current knowledge, we proposed a multistep algorithm to aid in the clinical management of this condition.
authors.affiliation: aDepartment of Neuroscience, Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart, Rome bDepartment of Neuroscience and Imaging, University 'G. D'Annunzio', Chieti, Italy cDivision of Neurology, Toronto Western Hospital, Krembil Neurosciences Program, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Luisa
authors.initials: L
authors.lastname: De Risio
authors.forename: Mauro
authors.initials: M
authors.lastname: Pettorruso
authors.forename: Marco
authors.initials: M
authors.lastname: Di Nicola
authors.forename: Giovanni
authors.initials: G
authors.lastname: Martinotti
authors.forename: Luigi
authors.initials: L
authors.lastname: Janiri
authors.forename: Alfonso
authors.initials: A
authors.lastname: Fasano
mesh_terms: D000328:Adult; D000465:Algorithms; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D000068180:Aripiprazole / Q000009:adverse effects* / Q000627:therapeutic use; D019090:Case Management; D005260:Female; D006801:Humans; D009069:Movement Disorders / Q000503:physiopathology* / Q000628:therapy*; D011618:Psychotic Disorders / Q000150:complications / Q000188:drug therapy; D013577:Syndrome; D016896:Treatment Outcome
chemical_list: D014150:Antipsychotic Agents; D000068180:Aripiprazole