> The symptoms are suspicious of tardive dyskinesia(TD) and i think his
> HIV
> and substance abuse may have a lot to do with it.A neoplasm or some
> infectious pathology of the CNS basal ganglion leading to extrapyramidal
> side-effects.As some reports say, if they have been on
> anti-psychotics,HIV
> afflicted patients have increased frequency of such disorders.The
> write-up
> on www.emedicine.com says that it can be classified as TD if the
> patient has
> been on neurolepts for around 3 months even 8 wks after discontinuation.
> It comments on use of clonazepam and propranolol as well for treatment.
>
> Ayan Sen
>
> _________________________________________________________________
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>
We thought it was all TD as well. However, there is a reported association with crack cocaine itself and TD which
rejoices in the name of 'crack dancing'. There are only a couple of case reports of this as a pure entity.
Neurology. 1994 Apr;44(4):751-2.
Cocaine-induced choreoathetoid movements ('crack dancing').
Daras M, Koppel BS, Atos-Radzion E.
Department of Neurology, New York Medical College, Valhalla.
We describe seven patients with cocaine-induced movements, including choreoathetosis, akathisia, and parkinsonism
with tremor. All were seen in 2 years at a municipal hospital, during which 701 visits were attributed to complications of
cocaine. Dopaminergic changes are hypothesized to cause euphoria, addiction, and abnormal movements.
Rowley Cottingham.
Consultant in Emergency Medicine.
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