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Psychiatry

Dystonia

Introduction

Dystonic movements result from a slow sustained muscle contraction or spasm that can result in an involuntary movement and fixed posture involving the neck muscles, jaw, tongue, etc.

  • Involvement of eyes can result in oculogyric crisis.

Treatment

  • Promethazine (Phenergan 25-50 mg IM) or
  • Anticholinergic drugs—IM (Benzhexol) or
  • Diazepam 10 mg IV very slowly.

Disclaimer: This guide is an educational reference for healthcare professionals. It does not replace clinical judgement — always follow your hospital's protocols and current guidelines.