A Case of Complex Movement Disorder Induced by Fluoxetine With Management of Dystonia by Botulinum Toxin Type A

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Sir: Selective serotonin reuptake inhibitors (SSRIs) have been associated with movement disorders such as akathisia, dystonia, dyskinesia, and parkinsonism.^1-3 We present a case of fluoxetine-induced de novo complex movement disorder characterized by orofacial dyskinesia, jaw-closing dystonia, bruxism, and parkinsonism. Focal injections of botulinum toxin type A (BTX-A) were required to treat the dystonic features.’ ‹