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Doctor insights on: Dyskinesia

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Dr. Jeffrey Wint
161 Doctors shared insights

Dyskinesia (Overview)

Dyskinesia refers to a group of involuntary movements which are usually uncoordinated and often spasmodic. These are neurological problems. Examples are tardive dyskinesia and Huntington's Chorea. There are many causes including side effects of some drugs, genetic, or the sequelae of infection or injury to the CNS.


Dr. Eric Ernest Dr. Ernest
Emergency Medicine
7 years in practice
Creighton University School of Medicine
1

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Was given Reglan (metoclopramide) in ER 5 years ago. Ever since that day I've had twitches throughout my entire body. Can one dose of Reglan (metoclopramide) cause dyskinesia?

Was given Reglan (metoclopramide) in ER 5 years ago. Ever since that day I've had twitches throughout my entire body. Can one dose of Reglan (metoclopramide) cause dyskinesia?

Not likely: Dyskinesia is more of an acute side effect of medications such as Reglan (metoclopramide). It would be highly unlikely that you are having persistent symptoms 5 years later. A thorough history and physical examination may be needed to address the cause of your twitches.

Dr. Jeffrey Wint
161 Doctors shared insights

Dyskinesia (Overview)

Dyskinesia refers to a group of involuntary movements which are usually uncoordinated and often spasmodic. These are neurological problems. Examples are tardive dyskinesia and Huntington's Chorea. There are many causes including side effects of some drugs, genetic, or the sequelae of infection or injury to the CNS.


Dr. Charles Cattano Dr. Cattano
Internal Medicine - Gastroenterology
35 years in practice
State University of New York Upstate Medical University
2

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Does bilary dyskinesia mean my gallbladder isn't working?

Does bilary dyskinesia mean my gallbladder isn't working?

Abnormal gb & ducts: Acalculous cholecystitis is ineffective/incomplete contraction of the gallbladder in response to cck, as seen on hida scan. Cholecystectomy may help. Sphincter of oddi dysfunction, or biliary dyskinesia, is defined by bile duct manometry showing sphincter spasm, altered propagation/increased phasic contraction frequency (tachyoddia), paradoxical contraction response to cck. Sphicterotomy may help.

Dr. Brian Bezack Dr. Bezack
Pediatrics - Pulmonology
14 years in practice
New York Institute of Technology New York College of Osteopathic Medicine
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Anyone out there treat primary ciliary dyskinesia?

Pulmonologist: Your best bet on getting treatment is to find a pulmonologist at a tertiary care center who has experience with treating this disorder.

Dr. Lokesh Guglani Dr. Guglani
Pediatrics - Pulmonology
17 years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
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Anyone treated primary ciliary dyskinesia (pcd)?

Anyone treated primary ciliary dyskinesia (pcd)?

Pulmonologists do: Pcd is diagnosed in both children & adults & they should be followed by a pediatric or adult pulmonologist who can help monitor their lung function & provide specific therapies to prevent lung damage in the long term. Most tertiary care centers would have either an adult or pediatric pulmonologist who has expertise in the management of patients with pcd. Talk to your doctor & see a lung specialist.

Dr. Colin Kerr Dr. Kerr
Family Medicine
40 years in practice
University of Pennsylvania School of Medicine
5

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What is the anti psycotic cause tradive dyskinesia?

Tardive dyskinesia: Virtually all of the antipsychotic medications can cause tardive dyskinesia. The older ones are most like to cause this--haldol, mellaril, thorazine, promethazine, flufenazine. The newer ones can too, but the risk is lower. Some nonantipsychotic medications can also cause it like Reglan (metoclopramide) for nausea, . See http://www. Brainandspinalcord. Org/legal/tardive-dyskinesia/medications. Html.

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Dr. Ramin AmirNovin Dr. AmirNovin
Neurosurgery
17 years in practice
New York University School of Medicine
6

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Is having a dbs implanted a good treatment for tardive dyskinesia?

It can be: There is increasing evidence (mostly out of Europe) that DBS can help many people with tardive dyskinesia. Unfortunately, this is currently an off-label use for DBS in the USA and hence you will need to speak to someone about entering an active research study on the subject underway in the US.

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Dr. Johanna Fricke Dr. Fricke
Pediatrics - Developmental & Behavioral
46 years in practice
University of Alabama School of Medicine
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Are there any treatments/therapy to help with eating difficulty due to tardive dyskinesia.

Are there any treatments/therapy to help with eating difficulty due to tardive dyskinesia.

Tardive dyskinesia: Is treated with either Benadryl (diphenhydramine) or Cogentin by the physician who prescribed the neuroleptic medication. The physician will certainly want to know about this side effect to be able to monitor response to medication & make decisions about changing the neuroleptic depending on the response.

Dr. Nader Pouratian Dr. Pouratian
Neurosurgery
14 years in practice
UCLA School of Medicine
8

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Could surgery help to cure my tardive dyskinesia?

Not FDA approved: There is increasing evidence that deep brain stimulation targeting the globus pallidus is effective for tardive disorders but this is not officially an fda approved indication. If it is disabling, you can consult a functional neurosurgeon.

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Dr. Nalinaksha Joshi Dr. Joshi
Neurology
19 years in practice
9

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What can prevent tardive dyskinesia?

Unknown: There are no definite way to prevent it. Careful selection of psychotropic medicine may help.

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Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
10

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Do antipsychotic drugs often cause tardive dyskinesia?

Yes: The older antipsychotics such as thorazine, mellaril, stelazine, haloperidol, turned out to be at high risk in causing tardive dyskinesia. The newer agents such as risperdal, seroquil, geodon, (ziprasidone) have a substantially lower risk but still possible in some patients.

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Dr. Janice Wiesman Dr. Wiesman
Neurology
28 years in practice
Drexel University College of Medicine
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How do people get tardive dyskinesia?

A movement disorder: Tardive dyskinesia is a disorder of abormal, uncontrolled movements that is caused by using certain medications, typically neuroleptic (anti-psychotic) medications. Characteristically this includes abnormal movements of the face and mouth.

Dr. Robert Fink Dr. Fink
Pediatrics
43 years in practice
Case Western Reserve University School of Medicine
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Anyone have tips for dealing with primary ciliary dyskinesia (pcd)?

Anyone have tips for dealing with primary ciliary dyskinesia (pcd)?

Get vaccinated: Vaccines protect against many major illnesses and are an important aspect of care for someone with pcd. The annual influenza vaccine is especially important. Pcd requires daily care to prevent lung infections and damage; I would strongly suggest that anyone with this condition be seen regularly by a pulmonologist for treatment and counseling.

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Allison Greco Dr. Greco
General Practice
5 years in practice
Jefferson Medical College of Thomas Jefferson University
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Is there an increased risk of tardive dyskinesia with quetiapine?

Is there an increased risk of tardive dyskinesia with quetiapine?

Yes and no: All anytipsychotic medications carry the risk of tardive dyskinesa if used at high enough doses for long periods of time. However, queitapine is a type of antipsychotic with a lower risk of tardive dyskinesia, and is therefore preferred over some of the others, such as haloperidol.

Dr. John Weaver Dr. Weaver
Radiology
26 years in practice
Creighton University School of Medicine
14

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What is the definition or description of: Dyskinesia?

Involuntary movement: Dyskinesia refers to a group of involuntary movements which are usually uncoordinated and often spasmodic. These are neurological problems. Examples are tardive dyskinesia and Huntington's Chorea. There are many causes including side effects of some drugs, genetic, or the sequelae of infection or injury to the CNS.

Dr. Seth Zeidman Dr. Zeidman
Neurosurgery
29 years in practice
Duke University School of Medicine
15

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What is proxy dyskinesia choreoathetosis?

What is proxy dyskinesia choreoathetosis?

Movement Disorder: Paroxysmal kinesigenic choreathetosis (PKC) is a hyperkinetic movement disorder characterized by attacks of involuntary movements, which are triggered by sudden voluntary movements. PKC is diagnosed using a strict set of guidelines. The attacks last less than one minute and have a known trigger, usually a sudden voluntary movement. PKC patients have a good response to medication (anticonvulsants)

Dr. Indravadan Gatiwala Dr. Gatiwala
Neurology
38 years in practice
South Gujarat University, Government Medical College
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Help doctors! What're the types of dyskinesia?

Dyskinesia: 1. Tardive dyskinesis 2. Paroxysmal dyskinesia 3. Primary ciliary dyskinesia 4.Blepharospasm (eyelids) 5.Oculogynic crisis (eyeballs) 6.Oromandibular dystonia (jaw, mouth and tongue) 7.Laryngeal dystonia (throat and larynx) 8.Focal hand dystonia (similar to writer's cramp, but neurological in nature);.

Dr. Peter Lin Dr. Lin
Neurology
16 years in practice
University of Michigan Medical School
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Please tell me what dystonia & dyskinesia means?

Dystonia definition: Dystonia refers to a neurologic condition consisting of involuntary movements of the body due to abnormally prolonged and inappropriate muscle activity. Dyskinesia refers to involuntary movements but can encompass a larger range of movements including tremor, dystonia or chorea. The term "dyskinesias" is used in the setting of parkinson's disease and with chronic antipsychotic use (tardive).

Dr. Andrew Dutka Dr. Dutka
Neurology
41 years in practice
Albert Einstein College of Medicine of Yeshiva University
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What's difference between dyskinesia and apraxia?

Voluntary movement: Dyskinesia is a general term for involuntary movements. The most common reason is the side effect of medications for parkinson's disease, but there are several other diseases that can cause dyskinesia. Apraxia is the inability to perform a skilled motor act, like walking, in the absence of weakness or numbness. It is due to a disturbance in the control systems in the brain.

Dr. Colin Kerr Dr. Kerr
Family Medicine
40 years in practice
University of Pennsylvania School of Medicine
19

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What is the anti psycotic cause tradive dyskinesia?

Tardive dyskinesia: Virtually all of the antipsychotic medications can cause tardive dyskinesia. The older ones are most like to cause this--haldol, mellaril, thorazine, promethazine, flufenazine. The newer ones can too, but the risk is lower. Some nonantipsychotic medications can also cause it like Reglan (metoclopramide) for nausea, . See http://www. Brainandspinalcord. Org/legal/tardive-dyskinesia/medications. Html.

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Dr. Eric Farbman Dr. Farbman
Neurology
22 years in practice
University of Medicine and Dentistry of New Jersey - New Jersey Medical School
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What's the differences between dystonia and dyskinesia?

Stiffness & movement: In a parkinson disease (pd) patient, these two conditions are related. Dystonia is a sustained muscle contraction with twisting. Dyskinesia is an involuntary movement. In pd, in a patient who is having fluctuations from levodopa, a patient can develop dyskinesias or dystonia. There are also tardive dyskinesias which are involuntary movements that develop following neuroleptic exposure.