Oculogyric crises entities

From Wikihomeopathy
Jump to navigation Jump to search

Clinic

  • OGC is the name of a dystonic reaction to certain drugs or medical conditions characterized by a prolonged involuntary upward deviation of the eyes.
  • It refers to the bilateral elevation of the visual gaze, but several other responses are associated with the crisis.
  • Epilepsy can manifest as oculogyric seizures, also called versive seizures.


Signs and symptoms

  • Initial symptoms include restlessness, agitation, malaise, or a fixed stare.
  • Extreme and sustained upward deviation of the eyes. In addition, the eyes may converge, deviate upward and laterally, or deviate downward.
  • The most frequently reported associated findings are backwards and lateral flexion of the neck, widely opened mouth, tongue protrusion, and ocular pain.
  • However, the condition may also be associated with intensely painful jaw spasms which may result in the breaking of a tooth.
  • A wave of exhaustion may follow an episode. The abrupt termination of the psychiatric symptoms at the conclusion of the crisis is most striking.
  • Other features
    • Mutism,
    • Palilalia,
    • Eye blinking,
    • Lacrimation,
    • Pupil dilation,
    • Drooling,
    • Respiratory dyskinesia,
    • Increased blood pressure and heart rate,
    • Facial flushing, headache, vertigo, anxiety, agitation,
    • Compulsive thinking,
    • Paranoia,
    • Depression,
    • Recurrent fixed ideas,
    • Depersonalization,
    • Violence
    • Obscene language.


Causes

Drugs that can trigger an oculogyric crisis include

  • Drugs such as haloperidol, chlorpromazine, fluphenazine, olanzapine, carbamazepine, chloroquine, cisplatin, diazoxide, levodopa, lithium, metoclopramide, lurasidone, domperidone, nifedipine, pemoline, phencyclidine ("PCP"), reserpine, and cetirizine, an antihistamine
  • Other causes can include aromatic L-amino acid decarboxylase deficiency,
  • Postencephalitic Parkinson's
  • Tourette's syndrome
  • MS
  • Neurosyphilis,
  • Head trauma, bilateral thalamic infarction, lesions of the fourth ventricle, cystic glioma of the third ventricle,
  • Herpes encephalitis
  • Kernicterus
  • Juvenile Parkinson's disease.
  • Patients with procyclidine addiction or craving may simulate signs of EPS to receive procyclidine.