Acute upper airway obstruction due to supraglottic dystonia induced by a neuroleptic.

Fairfield Hospital, Fairfield, 3078, Victoria, Australia Hugh Newton-John, fracp, consultant physician Acute dystonic reactions to neuroleptic drugs are common. The most easily recognised syndrome is the oculogyric crisis, but many other dystonic symptoms occur, including protrusion of the tongue, trismus, and torticollis.1 We report two cases of acute supra glottic dystonia after treatment with metoclopramide . alone or with prochlorperazine.