A schizophrenic patient staed on haloperidol 2 days back, comes with complaints of toicollis and Orofaciolingual movements. What is the diagnosis?: (A) Acute dystonia, (B) Tardive dyskinesia, (C) Parkinsonism, (D) Akathisia
Answer is A. Facial grimacing , tics, muscle spasm , protruding tongue and similar involuntary movements can occur in first few days of staing anti psychotics . Parkinsonism maybe noticed in the first few weeks . Tardive dyskinesia develops after years of therapy. Ref KD Tripati 8th ed.