Doctor insights on:
Tests For Oculogyric Crisis
Dyskinesia: It's a type of dyskinesia (movement disorder showing either diminished movement or too much movement, with tics and jerks, etc) involving the muscles of the eye. It's acute, and can be relieved quickly also. It's most commonly seen with medicines that block the neurotransmitter dopamine, such as haldol, stelazine, and thorazine -- but also newer antipsychotics, as well as the GI drug reglan. ...Read more
EPS from zoloft: Extrapyramidal symptoms are rare with antidepressants such as zoloft & occur in less than 1%. Is seen if high dose zoloft or if zoloft is taken along with other medications that inhibit liver breakdown of zoloft and hence cause accumulation in body and side effects. ...Read moreSee 1 more doctor answer
Usually it doesn't: Zoloft inhibits serotonin reuptake, and in that way can also affect dopamine. The resulting increase in serotonergic activity can inhibit both nigrostriatal and tuberoinfundibular dopaminergic neurons, resulting in extrapyramidal symptoms (eps). Balance between these systems is extremely important. Akathisia is the most common kind of eps from zoloft, rather than oculogyric crisis. ...Read more
That'd be very rare: The usual suspect in a category: any antipsychotic. Take care. ...Read more
Possibly but unlikel: It is always possible but in this case it is very unlikely. Would look for another cause. ...Read more
My 18mths old son has oculogyric crisis almost every 3 days. He is developmentally delayed. He is not on any medications. How do I treat his crisis?
See the pediatrician: Your child should be evaluated if this is new. He may need to be seen by a pediatric neurologist as well. It's probably not oculogyric crisis in the absence of a medication but should still be explored. ...Read more
21 hydroxylase AB: An addisonian crisis is when your body is in shock from adrenal insufficiency. To diagnosis addison's disease, the combination of blood tests for electrolytes, glucose, 21 hydroxylase antibodies, and a high dose acth stimulation test would help make or reject the diagnosis. ...Read more
Med/Psych. Eval: What is crisis? If these behaviors are new, please go to your primary care doctor to rule out anything physical going on. If a person has thoughts of self-harm or other harm, please take them to the nearest emergency room or dial 911. If the person is depressed and stopped eating, doesn't get out of bad, you can also bring him/her to the nearest emergency room for psych. Eval. ...Read more
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