Acute Dystonic Reaction — SCE Neurology MCQ

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EasyMovement DisordersAcute Dystonic ReactionSCE Neurology

A 22-year-old man presents with acute sustained neck extension, jaw clenching, and oculogyric crisis 12 hours after starting haloperidol. What is the immediate treatment?

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Correct answer: B — Intramuscular procyclidine

Acute dystonic reactions from dopamine antagonists respond rapidly to IM/IV anticholinergics (procyclidine or benzatropine). A: Diazepam may help but is not first-line. C: Levodopa is not used. D: Dantrolene is for NMS. E: Botulinum toxin is for chronic dystonia.

Reference: BNF – Procyclidine