Giant Tongue in a Patient With Chiari Malformation and Neuroleptic-Induced Tardive Dyskinesia

• Type: Article in International Scientific Journal
• Date: 2019

Authors

Horta, R (Author) FMUP; Nascimento, R (Author) Other; Silva, A (Author) Other

Journal

Title: Journal of Craniofacial Surgery

Vol. 30

Pages: E137-E138

ISSN: 1049-2275

Publisher: Wolters Kluwer Health

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00Q-KWC

DOI: 10.1097/scs.0000000000005066

Abstract (EN): A 68-year-old woman, presented with a squamous cell carcinoma of the malar region, and underwent wide local excision. During her clinical examination, repetitive protrusion and intrusion of the tongue as well as stereotypic, abnormal movements of the mouth and lips were observed, in a pattern that resembled chewing, sucking or lip pursing; dyskinesias ceased when she was speaking or bringing food to the mouth. She was unaware of the movements and the tongue was observed to move similar to choreiform movements, while revealing a giant "snake-like'' macroglossia. She had history of mental retardation and alcohol abuse, and was under classic antipsychotic medications for several years. During a previous neurological investigation, type I Chiari malformation was diagnosed. In this case, concomitant Chiari malformation and neuroleptic- induced tardive dyskinesia, may together have been responsible for giant macroglossia, and to our best knowledege no similar observation has been reported in the literature.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 3