Acute dystonic reaction with oculogyric crisis

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Acute dystonic reaction with oculogyric crisis

This video demonstrates a man who developed an acute dystonic reaction with oculogyric crisis on postoperative day 4 following a right hemicolectomy for a malignant cecal mass. Postoperatively, he received metoclopramide once daily for nausea and vomiting. On postoperative day 4, he was given haloperidol for delirium. Approximately 6 hours later, he developed lower cranial dystonia characterized by sustained jaw opening, resulting in an inability to speak or swallow. Of note, his level of consciousness remained intact. In addition, he exhibited sustained forward staring with restricted upgaze and lateral gaze, consistent with a less common form of oculogyric crisis. (Contributed by Dr. Pichet Termsarasab.)