[Dysphagia] tardive dyskinesia

[epowazek at hotmail.com (Erin Powazek)]

I was referred a 64 y/o female for evaluation secondary to tardive 
dyskinesia presenting with circular tongue movements.  This dyskinesia is 
thought to be related to a reaction to Reglan.  She has been off it for some 
time.  She initially had extrapyramidal sympotms with involuntary writing of 
her arms, legs, and tongue.  The only symptom to persist after about 8 
months is her tongue writhing.  Her speech is intelligible, although her 
rate and prosody are altered.  She is taking in a regular diet but has to be 
very careful not to bite her tongue during meals and throughout the day.  
She is able to stop the movement for a brief period of time with great 
concentration.  She reports a previous dr tried behavioral modification 
techniques which worked for a short period, but the movement eventually 
returned.  Any ideas, advice, or information which may help this woman would 
be greatly appreciated.

Thanks,
Erin Rohde, MA, CCC-SLP

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