مريض عنده فصام يأخذ هالوبيريدول منذ يومين، صار رقبته ملتوية للجنب وعيونه مرفوعة لفوق ومتألم. ما الأرجح وما العلاج؟

A man with schizophrenia started haloperidol two days ago and now has his neck twisted to one side, eyes rolled upward and pain. What is most likely, and the treatment?

1. Neuroleptic malignant syndrome, treated with dantrolene
2. A seizure, treated with IV lorazepam
3. Acute dystonia, treated with diphenhydramine or benztropine
4. Tardive dyskinesia, stopping the drug permanently

Answer: C) Acute dystonia, treated with diphenhydramine or benztropine. Torticollis and oculogyric crisis in the first days of an antipsychotic are acute dystonia, treated with an anticholinergic.