Stereotyped Paroxysmal Psychiatric Symptoms During Oculogyric Crisis or ‘Cognitive Dystonia’: A Case Report

Samir      Kumar Praharaj; Sujit      Sarkhel; Sayeed      Akhtar

Abstract

Oculogyric crisis (OGC) is an acute dystonia which can occur after initiation of antipsychotic treatment. Stereotypic paroxysmal psychiatric symptoms have been described along with OGC that resolve spontaneously when the later remits. We report a case of tardive OGC associated with zuclopenthixol in which there were associated paroxysmal auditory pseudohallucinations.

Keywords: Oculogyric crisis, dystonia, tardive, stereotypic paroxysmal psychiatric symptoms, pseudohallucinations, zuclopenthixol, antipsychotics, ocular pain, agitation, malaise, restlessness, anxiety, schizoid, cognitive, dopaminergic, cholinergic, GABA-ergic, neurobiology, FSC