Antipsychotic-induced laryngeal dystonia is a life-threatening side-effect of both high- and low-potency classical antipsychotics, and its diagnosis often remains elusive. We review all cases of acute laryngeal dystonia due to antipsychotics available in the literature, including controversial ones, and add two new cases. There are no reports of acute laryngeal dystonia due to atypical antipsychotics. Antipsychotic-induced laryngeal dystonia has been reported predominantly in young males, but does not correlate to the dosage or the category of the drug. There have been reports of acute laryngeal dystonia due to metoclopramide. Differential diagnosis includes other extrapyramidal side-effects and allergic reactions. Treatment consists of the administration of anticholinergic agents.
The genital-shrinking syndrome is a transient state of acute anxiety characterized by the triad of a deep-seated fear of penile shrinkage, its disappearance into the abdomen, and apprehension regarding inevitable impotence or even death. It is also known by the Malayo-Indonesian term ‘koro’. In the West, koro syndrome has been reported only in relation with various somatic, psychiatric and drug-induced disorders. The vast majority of non-psychiatric cases was related to neurological disorders or intoxication with cannabis or amphetamine. This is the first case of cannabis-induced koro-like syndrome ever reported in Greece.
Suicide attempts are the commonest reason for referral for psychiatric evaluation and therefore one of the commonest reasons for admittance to psychiatric clinics through consultation-liaison services. The aim of this study was to assess demographics and psychopathology of patients that attempted suicide and were admitted to the psychiatric clinic of our hospital, as well as the specific features of those suicide attempts.
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