{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T04:21:20Z","timestamp":1692937280424},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n            <jats:title>Abstract<\/jats:title>\n            <jats:p>A 68-year-old woman, presented with a squamous cell carcinoma of the malar region, and underwent wide local excision. During her clinical examination, repetitive protrusion and intrusion of the tongue as well as stereotypic, abnormal movements of the mouth and lips were observed, in a pattern that resembled chewing, sucking or lip pursing; dyskinesias ceased when she was speaking or bringing food to the mouth. She was unaware of the movements and the tongue was observed to move similar to choreiform movements, while revealing a giant \u201csnake-like\u201d macroglossia. She had history of mental retardation and alcohol abuse, and was under classic antipsychotic medications for several years. During a previous neurological investigation, type I Chiari malformation was diagnosed. In this case, concomitant Chiari malformation and neuroleptic-induced tardive dyskinesia, may together have been responsible for giant macroglossia, and to our best knowledege no similar observation has been reported in the literature.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/scs.0000000000005066","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T01:43:13Z","timestamp":1547430193000},"page":"e137-e138","source":"Crossref","is-referenced-by-count":1,"title":["Giant Tongue in a Patient With Chiari Malformation and Neuroleptic-Induced Tardive Dyskinesia"],"prefix":"10.1097","volume":"30","author":[{"given":"Ricardo","family":"Horta","sequence":"first","affiliation":[]},{"given":"Ricardo","family":"Nascimento","sequence":"additional","affiliation":[]},{"given":"Alvaro","family":"Silva","sequence":"additional","affiliation":[]}],"member":"276","reference":[{"issue":"(Suppl)","key":"R1-20230824","first-page":"172","article-title":"Beckwith-Wiedemann syndrome in a child with Chiari I malformation. Case report","volume":"103","author":"Tubbs","year":"2005","journal-title":"J Neurosurg"},{"key":"R2-20230824","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00381-015-2642-5","article-title":"Beckwith-Wiedemann syndrome and Chiari I malformation\u2014a case-based review of central nervous system involvement in hemihypertrophy syndromes","volume":"31","author":"Udayakumaran","year":"2015","journal-title":"Childs Nerv Syst"},{"key":"R3-20230824","doi-asserted-by":"crossref","first-page":"550","DOI":"10.3171\/spi.2006.5.6.550","article-title":"Trombone tongue: a new clinical sign for significant medullary compression at the craniovertebral junction. Case report","volume":"5","author":"Lee","year":"2006","journal-title":"J Neurosurg Spine"},{"key":"R4-20230824","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1093\/pch\/16.9.590","article-title":"Treatment recommendations for extrapyramidal side effects associated with second-generation antipsychotic use in children and youth","volume":"16","author":"Pringsheim","year":"2011","journal-title":"Paediatr Child Health"},{"key":"R5-20230824","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1192\/bjp.145.3.304","article-title":"Effect of anticholinergics on tardive dyskinesia. A controlled discontinuation study","volume":"145","author":"Greil","year":"1984","journal-title":"Br J Psychiatry"}],"container-title":["Journal of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00001665-201903000-00096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T22:03:10Z","timestamp":1692914590000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00001665-201903000-00096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/scs.0000000000005066","relation":{},"ISSN":["1049-2275","1536-3732"],"issn-type":[{"value":"1049-2275","type":"print"},{"value":"1536-3732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}