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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 51, No. 2, 2003, pp. 254-256
Bioline Code: ni03079
Full paper language: English
Document type: Research Article
Document available free of charge

Neurology India, Vol. 51, No. 2, 2003, pp. 254-256

 en Case Report - Akathisia - diagnostic dilemma and behavioral treatment
S. K. Mattoo, G. Singh, A. Vikas


Akathisia, an involuntary movement disorder resulting from exposure to antipsychotics, is characterized by subjective restlessness and a strong desire to move about. The diagnosis is often complicated by the overlapping symptoms of pseudoakathisia, chronic akathisia and tardive dyskinesia. This report deals with a patient with schizophrenia who developed akathisia after exposure to antipsychotics. Later, she developed movements that were more like pseudoakathisia and tardive dyskinesia rather than acute akathisia. On failure of anti-akathisia medication, she was treated with a behavioral regime to which her akathisia responded. This behavioral regime used the technique of distraction as a primary tool. This case report highlights the diagnostic difficulties in akathisia and the application of behavioral treatment for akathisia that is non-responsive to anti-akathisia medication.

Akathisia, Movement disorder, Antipsychotics, Behavioral management

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