A 65-year-old woman was presented with abnormal involuntary movements of the mouth and face. She has had good health until 3 years ago when she developed problems with nausea and constipation. She was placed on metoclopramide with some relief of symptoms. A complete gastrointestinal (GI) workup was negative, although it was hypothesized she had decreased gastric motility. These abnormal movements began approximately 1 year ago. They have been getting progressively worse.
The movements do not interfere with speech but do interfere with eating. She also occasionally has arching spasms of the back and neck. Her examination is remarkable for stereotypical repetitive movements of the tongue and jaw and the sustained arching. What is the likely diagnosis for this patient? * This case is from Docplexus Editorial Team for Educational Purpose only. Source: Clinical Cases In Acute Medicine Click…
