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From the Department of Neurology, Baylor College of Medicine, Houston, TX.
Involuntary ocular deviations, or oculogyric crises (OGC), commonly occur in acute dystonic reactions to dopamine receptor blocking drugs (neuroleptics). We describe 4 patients with tardive OGC due to prolonged exposure to neuroleptics. In addition to the OGC, the patients had other tardive movement disorders. All patients improved with tetrabenazine. We conclude that tardive OGC are often not recognized and represent part of the spectrum of tardive dystonia.
Address correspondence and reprint requests to Dr. Jankovic, Department of Neurology, Baylor College of Medicine, 6550 Fannin, # 1801, Houston, TX 77030.
Presented in part at the forty-first annual meeting of the American Academy of Neurology, Chicago, IL, April 1989.
Received February 28, 1989. Accepted for publication in final form May 15, 1989.
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