The akathisia is a type of psychomotor pathology that is characterized by constant concern presented in the patient can not remain still for long periods presents anxiety, agitation, the patient constant balancing trunk, repetitive series of abduction and adduction level lower limbs, the patient gets up and sits in constant circuits and when reaching severe levels the patient cannot even sit or lie down.
This pathology can be presented as an adverse effect of different drugs that act at the level of the central nervous system such as neuroleptics, metroclopramide (irtopam) when administered intravenously, antihistamines, antiemetics, antidepressants and drugs for the purpose; the pathophysiology of akathisia is not described with certainty, but some authors describe it as a blockade of mesocortical dopaminergic impulses.
The main treatment for akathisia is to stop the consumption of the suspected drug causing this pathology, or the administration of other drugs if the prescription is for life, such as tranquilizers, antihistamines or other drugs such as propanolol, benzatropine, benadryl, benzodiazepines Among others, another method of treatment would be physical exercises to achieve muscle relaxation and stress reduction. The acatasia presents with clinical manifestations that are very similar to other diseases which greatly hinders the diagnosis of it, diseases like syndrome restless legs, fibromyalgia, nocturnal myclonia, etc., for the differentiation of the same, the patient is evaluated with a scale called the Barnes akathisia scale, it can also be diagnosed by the evaluation of some laboratory tests such as serum ferritin, CSC among others.
