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From the Division of Neurology (Drs. Fernandez and Friedman), Memorial Hospital of Rhode Island, Pawtucket; the Department of Psychiatry (Dr. Krupp), Eleanor Slate Hospital, Cranston; and the Departments of Neurology and Psychiatry (Drs. Fernandez and Friedman), Brown University School of Medicine, Providence, RI.
Address correspondence and reprint requests to Dr. Hubert H. Fernandez, Division of Neurology, Memorial Hospital of Rhode Island, 111 Brewster Street, Pawtucket, RI 02860; e-mail: fernandezh{at}pol.net
Tardive dyskinesia and parkinsonism were assessed in 53 patients residing in a state psychiatric hospital in 1984 and 1998. A 4.0-point decrease in the mean Abnormal Involuntary Movement Scale score (6.0 versus 2.0; p < 0.001) and a 3.5-point increase in the Rating Scale for Extrapyramidal Signs score (2.8 versus 6.3; p < 0.001) were noted between 1984 and 1998. Over a 14-year period, tardive dyskinesia improved and parkinsonism worsened in patients who continued to receive neuroleptic drugs.
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