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Orobuccolingual dyskinesia: A rare complication following gas geyser encephalopathy
Kartik J Kachhadiya, Azad M Irani, Pettarusp M Wadia
Department of Neurology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
Correspondence Address:
Pettarusp M Wadia,
Movement Disorder Clinic, Jaslok Hospital and Research Centre, 15 Dr. Gopalrao Deshmukh Marg, Mumbai, Maharashtra - 400 026
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/aian.AIAN_505_20
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Introduction: Gas geysers are a common source of cheaper and more consistently available source of energy as compared to electricity in many parts of India. Gas geyser syndrome is the name given to toxic effects resulting from carbon monoxide inhalation commonly in an ill-ventilated setting. Case: We present the case of a 37-year-old male who developed loss of consciousness while bathing in an ill-ventilated bathroom, with residual cognitive dysfunction and delayed onset orobuccolingual dyskinesias. Discussion: Acute manifestations include headaches, dizziness, syncope, loss of consciousness, seizure, coma, and death. Delayed manifestations include memory loss, movement disorders, Parkinson's-like syndrome, communication disturbances, depressed mood, dementia, and psychosis. Orobuccolingual dyskinesias are an uncommon manifestation of delayed neurologic effects of carbon monoxide toxicity/gas geyser syndrome. Conclusion: This case describes an extremely rare cause (probably the first reported case to the best of our knowledge) of delayed neurologic toxicity due to carbon monoxide poisoning presenting with an orobuccolingual dyskinesia.
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