Article type: Case Report
Article
title: Cervical
and axial dystonia secondary to mirtazapine: a case report and literature
review
Journal: Annals
of Movement Disorders
Year: 2020
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari
Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
Mirtazapine (MTZ) is an atypical antidepressant
frequently prescribed for the management of major depressive disorder. It has
multiple mechanisms of action, which probably contribute to the several side
effects encountered with this medication. Hyperkinetic movement disorders
induced by MTZ have been rarely reported in the literature. To the best of
authors’ knowledge, there are five cases of dystonia (DTN) secondary to MTZ
use, but this study reports the youngest individual in a nonpsychiatric MTZ
indication. We report a case of an adult woman who presented with axial and
cervical DTN-type laterocollis after 5 days of MTZ use, which was indicated for
hot flashes. A comprehensive review of the cases and a mechanism assumption are
performed.
Keywords: Axial dystonia, cervical dystonia, mirtazapine
Full text available at:
DOI
10.4103/AOMD.AOMD_30_19
Citation
Rissardo JP, Caprara AL. Cervical and
axial dystonia secondary to mirtazapine: a case report and literature review. Ann Mov Disord 2020;3:47-50
