A 58-year-old man with a 6-year history of Parkinson disease presents with severe involuntary writhing movements of his arms and legs that develop 45 minutes after taking levodopa and intensify with dose increases. Vital signs: BP 138/82, HR 92, RR 16, Temp 37°C, SpO2 98%. He denies tremor at rest currently. MRI brain shows no acute abnormalities. He takes levodopa-carbidopa and amantadine. Which of the following is the most likely diagnosis?
- A)Athetosis from basal ganglia stroke
- B)Tardive dyskinesia
- C)Levodopa-induced dyskinesiaGABARITO
- D)Huntington disease
- E)Essential tremor
Explicação
Levodopa-induced dyskinesia (LID) is a long-term complication of dopaminergic therapy in Parkinson disease, occurring after years of treatment. It presents as involuntary choreiform or dystonic movements that occur during 'on' periods when medication is effect... Ver explicação completa e trilha adaptativa →