A 61-year-old woman with bipolar disorder treated with haloperidol for 8 years presents with involuntary repetitive lip smacking, tongue protrusion, and choreiform facial movements persisting despite recent dose reduction. Vital signs: BP 128/76, HR 82, RR 16, Temp 37°C, SpO2 98%. MRI brain shows no structural abnormalities. Serum copper and ceruloplasmin levels are normal. She denies recent medication changes. Which of the following is the most likely diagnosis?
- A)Tardive dyskinesiaGABARITO
- B)Acute dystonia
- C)Essential tremor
- D)Akathisia
- E)Wilson disease
Explicação
Tardive dyskinesia is a late complication of chronic dopamine receptor blockade presenting with repetitive involuntary choreiform orofacial movements. Ver explicação completa e trilha adaptativa →