Belly dancer syndrome improved by withdrawal of droxidopa and amantadine

Kaga, Mihiro; Ueda, Hiroyuki; Sunagawa, Chika; Oe, Masashi; Shima, Atsushi; Matsukawa, Nobuyasu; Ueda, T.

doi:10.1002/ccr3.7237

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Several cases indicate that discontinuation of the medications implicated in BDD leads to symptom resolution. In 2023, Kaga et al reported a case where cessation of droxidopa and amantadine entirely terminated abdominal movements [5]. Similarly, Wong et al's 2021 report documented symptom amelioration following cessation of salbutamol [6].…”

Section: Literature Reviewmentioning

confidence: 99%

Unraveling the Enigma of Belly Dancer's Dyskinesia: A Detailed Case Analysis in the Context of Schizophrenia

Berri,

Grabie,

Tawfik

et al. 2023

Cureus

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Belly dancer's dyskinesia (BDD) is an unusual neurological disorder characterized by focal dyskinesia that results in involuntary, rhythmic movements of the anterior abdominal wall. This case report comprehensively examines the presentation, potential medication-induced etiology, and therapeutic response of a 64-year-old male diagnosed with schizophrenia. The patient developed BDD-like symptoms resembling hiccups, experiencing recurrent episodes that endured for hours and occurred nearly daily, significantly affecting wakefulness and sleep. Importantly, the patient's medical history included the utilization of fluphenazine and benztropine for schizophrenia management. Following a thorough multidisciplinary neurology consultation, a tailored treatment regimen involving clonazepam, promethazine, and baclofen was initiated, culminating in a noteworthy reduction in symptom frequency. This report substantially enriches the existing knowledge of BDD, highlighting the critical necessity to elucidate its intricate pathophysiology for the advancement of refined diagnostic and therapeutic strategies.

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Section: Literature Reviewmentioning

confidence: 99%

Unraveling the Enigma of Belly Dancer's Dyskinesia: A Detailed Case Analysis in the Context of Schizophrenia

Berri,

Grabie,

Tawfik

et al. 2023

Cureus

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Amantadine/droxidopa

2023

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Unraveling belly dancer’s dyskinesia and other puzzling diagnostic contortions: A narrative literature review

Rissardo,

Vora,

Tariq

et al. 2024

Brain Circulation

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Belly dancer’s dyskinesia (BDD) is characterized by involuntary abdominal wall movements that are rhythmic, repetitive, and dyskinetic. The present study aims to review BDD’s etiology, pathophysiology, and management. We searched six databases to locate existing reports on BDD published from 1990 to October 2023 in electronic form. A total of 47 articles containing 59 cases were found. The majority of the patients affected by BDD were female, accounting for 61.01% (36/59) of the cases. The mean and median ages were 49.8 (standard deviation: 21.85) and 52 years (range: 7–85), respectively. The BDD was unilateral in only 3.38% (2/59). The most commonly reported causes associated with BDD were 17 idiopathic, 11 drug-induced, 11 postsurgical procedures, 5 pregnancies, and 4 Vitamin B12 deficiencies. BDD is a diagnosis of exclusion, and other more common pathologies with similar presentation should be ruled out initially. Differential diagnostic reasoning should include diaphragmatic myoclonus, cardiac conditions, truncal dystonia, abdominal motor seizures, propriospinal myoclonus, and functional or psychiatric disorders.

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Belly dancer syndrome improved by withdrawal of droxidopa and amantadine

Cited by 3 publications

References 3 publications

Unraveling the Enigma of Belly Dancer's Dyskinesia: A Detailed Case Analysis in the Context of Schizophrenia

Unraveling the Enigma of Belly Dancer's Dyskinesia: A Detailed Case Analysis in the Context of Schizophrenia

Amantadine/droxidopa

Unraveling belly dancer’s dyskinesia and other puzzling diagnostic contortions: A narrative literature review

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