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16 Possible Causes for Dementia, Involuntary Tongue Protrusion, Sinus Tachycardia

  • Chorea

    Tardive dyskinesia is an involuntary, choreic movement disorder that typically affects the mouth and tongue causing random and stereotyped tongue protrusion and facial grimacing[pmj.bmj.com] […] but appear to flow from one muscle to the next hereditary chorea chorea Hereditary benign chorea CHOREA, BENIGN HEREDITARY; BHC Bch Hereditary Progressive Chorea Without Dementia[wikidata.org] Symptom onset in the three patients with chorea was at 44.0 years of age ( 12.0 years), and occurred in the absence of a family history of dementia.[ncbi.nlm.nih.gov]

  • Extrapyramidal Disorder

    Involuntary jaw opening. Lateral movements of the jaw. Protrusion of the tongue. Present during the day. Disappears during deep sleep.[pocketdentistry.com] Clinical phenomena usually consist of a mixture of lower and upper motor neuron signs, dementia, and urinary dysfunction.[jnnp.bmj.com] Other cardiac side effects Myocarditis, cardiomyopathy, sinus tachycardia Not reported Clozapine Ocular effects Lenticular and corneal deposits Cataracts Epithelial keratopathy[amboss.com]

  • Proximal Myopathy with Extrapyramidal Signs

    Fasciculations are fine involuntary movements that are usually detected at the sides of the tongue, posteriorly.[casemed.case.edu] These include criteria for the diagnosis of multiple sclerosis, dementia of Lewy-body type, frontal lobe dementias, chronic fatigue syndrome, and inflammatory neuropathies[books.google.com] This is rarely the case with a sinus tachycardia (as evidenced by the fact that most people exercising are not unstable due to tachycardia).[usmle.net]

  • Neuroleptic Malignant Syndrome

    John’s wort, ginseng Extrapyramidal Symptoms Acute Dystonia – involuntary motor tics or muscle spasms classically including torticollis, tongue or lip protrusion, or oculogyric[foamcast.org] Additionally, co-occurrence of primary and secondary parkinsonian dementia syndromes should be kept in mind to avoid additional complications in the elderly patients.[ncbi.nlm.nih.gov] Continuous cardiac monitoring continues to demonstrate sinus tachycardia. 3 , 6 , 8 , 9 Mr.[journals.lww.com]

  • Familial Dyskinesia and Facial Myokymia

    Intermittent or sustained severe involuntary tongue protrusion dystonia may cause speech, swallowing, and breathing difficulties that can be severe enough to be life threatening[neupsykey.com] No pyramidal, dementia or extrapyramidal findings occur. Patients are non-ambulatory within 20 years after onset.[neuroweb.us] Gcg, Gnas Tachycardia, Sinus Gcg type 2 diabetes mellitus Adcy5, Gcg, Gcgr ureteral obstruction Adcy6 Uterine Cervical Neoplasms Gnas vascular disease Gcg Ventricular Dysfunction[rgd.mcw.edu]

  • Phenothiazine Poisoning

    The syndrome is characterised by rhythmical involuntary movements of the tongue, face, mouth or jaw (e.g. protrusion of tongue, puffing of cheeks, puckering of mouth, chewing[home.intekom.com] Medications, particularly benzodiazepines, phenothiazines and anti-depressants, have been implicated as a risk factor for falls in patients with dementia [1, 3, 4, 11, 12][medical-dictionary.thefreedictionary.com] An EKG shows sinus tachycardia with wide ventricular complexes (QRS interval 160 msec) with a prominent R wave in lead aVR.[calpoison.org]

  • Risperidone

    Some patients may experience excessive tongue protrusion, squinting, muddled speech, or uncontrollable contraction of the platysma muscle.[ncbi.nlm.nih.gov] Canadian Study of Health and Aging: study methods of prevalence of dementia. CMAJ 1994 ; 150 : 899 -913. 2. Beers MH. Behavior disorders in dementia.[cmaj.ca] Clinical features should manifest within 4 hours and resolve by 24 hours Sinus tachycardia 50% Acute dystonia 10% Mild sedation QT prolongation but no reports of Torsades[lifeinthefastlane.com]

  • Anticholinergic

    The clinical features include tongue protrusion, side‐to‐side or rotatory movement of the jaw, lip smacking, puckering and pursing, and rapid eye blinking ( Casey 1994 ).[cochranelibrary-wiley.com] Participants with new-onset dementia underwent at least 1 annual follow-up examination to confirm the diagnosis of dementia.[doi.org] A 12-lead ECG showed sinus tachycardia with normal QRS and QT intervals. The agitation worsened and did not respond to benzodiazepines.[ncbi.nlm.nih.gov]

  • Haldol

    The syndrome is characterized by rhythmical involuntary movements of tongue, face, mouth or jaw (e. g., protrusion of tongue, puffing of cheeks, puckering of mouth, chewing[healthyplace.com] […] with dementia.[verywellhealth.com] tachycardia / Rapid / Incidence not known hypotension / Rapid / Incidence not known orthostatic hypotension / Delayed / Incidence not known dyspnea / Early / Incidence not[pdr.net]

  • Loxapine

    The syndrome is characterized by rhythmical involuntary movement of the tongue, face, mouth or jaw (e.g., protrusion of tongue, puffing of cheeks, puckering of mouth, chewing[ndrugs.com] Patients with Dementia-related Psychosis in Boxed Warning.)[drugs.com] The most frequent medical complications were CNS depression, sinus tachycardia, hypertension, and hypothermia; 6 patients had had generalized major motor seizures, 1 had had[ncbi.nlm.nih.gov]

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