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CASE REPORT
Year : 2022  |  Volume : 5  |  Issue : 1  |  Page : 65-67

Levosulpiride-induced arm-raising stereotypy in a 65-year-old man: an unusual tardive phenomenon


1 Movement Disorders Clinic, Department of Neurology, Global Hospitals and Department of Neurology, KEM Hospital and Seth GS Medical College, Mumbai 400012, Maharashtra, India
2 Department of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai 400020, Maharashtra, India

Correspondence Address:
Dr. Pankaj A Agarwal
Room 213, Movement Disorders Clinic, Department of Neurology, Global Hospitals, Dr Ernest Borges Road, Parel, Mumbai 400012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AOMD.AOMD_2_21

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A 65-year-old man presented to us with a 6-month history of recurrent, bilateral, purposeless, arm-raising and lowering movements that fulfilled all criteria for stereotypy. He was on a dopamine blocking agent levosulpiride before the onset of the movements. After the diagnosis of tardive, levosulpiride-induced, armraising stereotypy was made, the offending drug was stopped. Tetrabenazine at 100 mg/day produced near-complete improvement at 3 months. Proximal limb involvement—such as arm-raising—is not reported as a phenotype in tardive stereotypy to date, with all cases having distal hand involvement. Furthermore, any limb stereotypy is not reported with levosupride to date.


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