<prompt> Vasanthi 45 years, was brought to casualty with abnormal movements which included persistent detion of neck to right side one day before she was prescribed Haloperidol 5 mgs three times daily from the psychiatry OPD. She also had an altercation with her husband recently. Which of the following is the most likely cause for her symptoms-Acute drug dystoniaConversion reactionAcute psychosisCerebrovascular accident  <response>: Ans. is a i.e., Acute drug dystonia o Persistent detion of neck Toicollis after one day of taking haloperidol is a feature of acture muscular dystonia acute drug dystonia. Acute muscular dystonia o Bizarre muscle spasms mostly involving linguo-facial muscles -- grimacing, tongue thrusting, toicollis, locked jaw. o Occurs within a few hours of a single dose. o More common in children below 10 years and girls. o Treatment -- central anticholinergic 