Oculogyric crisis caused by clozapine： a case report

Abstract

This paper reported a case of a 14-year-old female patient with schizophrenia of more than 2 years who had poor efficacy on atypical antipsychotics such as aripiprazole， risperidone and olanzapine， and who developed acute dystonia adverse effects during administration. Subsequently， the treatment was changed to clozapine therapy， and during this treatment， the patient's psychotic symptoms improved， but developed salivation and adverse effects such as clozapine-induced oculogyric crisis， slurred speech and dysphagia. This paper discussed this case with a view to providing a reference for clinicians in the recognition and management of oculogyric crisis caused by clozapine.

Keywords

• schizophrenia
• clozapine
• dystonia
• oculogyric crisis
• therapeutic drug monitoring