What are the physical findings of medication-induced dystonic reactions?

Updated: Feb 19, 2018
  • Author: John Michael Kowalski, DO; Chief Editor: David Vearrier, MD, MPH  more...
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Physical examination findings may include any of the following:

  • Oculogyric crisis - fixed deviation of the eyes in one direction

  • Buccolingual crisis

  • Protrusion of tongue

  • Trismus

  • Forced jaw opening

  • Difficulty in speaking

  • Facial grimacing

  • Torticollis, usually associated with oculogyric and buccolingual crisis

  • Opisthotonic crisis

  • Lordosis or scoliosis

  • Tortipelvic crisis - Typically involves hip, pelvis, and abdominal wall muscles, causes difficulty with ambulation

Mental status is unaffected.

Vital signs are usually normal.

Remaining physical examination findings are normal.

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