Tardive Dyskinesia Clinical Case Review

Christoph U. Correll, MD, professor of psychiatry at The Zucker School of Medicine at Hofstra/Northwell and professor and chair of the department of child and adolescent psychiatry at Charité University Medicine in Berlin, Germany, discusses the baseline characteristics of the first case.

Editor’s note: The following is an automatically generated transcript of the above video.

"At the office visit, Paul then shows on the AIMS exam, which should always be conducted if possible, when you can do it, is about three minutes. He shows the following signs. Remember, the AIMS has seven different rating areas, four in the face, one in the upper extremities, one in the lower extremities, and one in the core of the body. Back, shoulder, hips. And four in the face are rated because facial dyskinetic movements are most common. And it goes basically from top to bottom. Facial expression, eyebrows, periorbital area, cheeks and lips, perioral area, jaw and tongue.

So what does Paul show? He has eye blinking, which is mild by the way. The rating is none. Zero is absent, one is minimal, two is mild, three is moderate, and four is severe. And for tardive dyskinesia, you need either two twos or higher. So two areas with mild, or one area with at least moderate severity. So let's see what he has. He has actually two twos and three threes, so that already by glancing at the scores you see he clearly has tardive dyskinesia with a total score of 10. Eye blinking is mild, puckering of the lips is moderate, the lateral jaw movements are mild, and the tongue movements inside and outside the mouth are actually moderate."