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Table 2 Changes in patient history and drug use

From: Oculogyric crisis symptoms related to risperidone treatment: a case report

Treat environment

Time

Symptoms

Complementary check

Diagnosis

Main Medication

With or without OGC

Hospitalization

(First time)

April 15, 2021-September 2021

Verbal Hallucinations, inhibition of thought, delusion of reference, inattention, anxiety, no self-awareness

CSF routine, biochemistry, and autoimmune encephalitis were unremarkable, and video EEG and MRI of the cranial brain were normal

Acute schizophrenia-like psychotic disorder

Aripiprazole 30 mg/d

Risperidone 2 mg/d

without

outpatient service

September 2021-March 2022

Positive symptoms in remission, no self-awareness

Self-discontinuation of medication

without

Hospitalization

(Second time)

March 17,2022- August 2022

Verbal hallucinations, delusions of victimization, feelings of being watched and controlled, delusions of physical influence, no self-awareness

video EEG and MRI of the cranial brain were normal

schizophrenia

Aripiprazole 20 mg/d

Risperidone 6 mg/d

With OGC(Episodes of upwards rolling eyes, gazing, closed eyes are seen on both sides of the upper eyelid muscles, involuntary trembling, cannot control themselves, feeling pain and irritability, seizure process is clear consciousness, no limbic spasms, urinary and faeces incontinence and other manifestations, lasting a few minutes to half an hour, and self-relieving)

outpatient service

September 2022-April 2023

 

Intermittent medication

Hospitalization

(Third time)

April 13, 2023—April 15, 2023

Verbal Hallucinations, inhibition of thought, no self-awareness

Risperidone 6 mg/d

April 16, 2023-April 19, 2023

Risperidone 4 mg/d

hospitalization + outpatient service

April 20, 2023, to present

Symptoms in remission, she was able to go to school

clozapine 125 mg/d

without