Extrapyramidal syndrome; Antipsychotics - extrapyramidal
Basal ganglia dysfunction is a problem with the deep brain structures that help start and control movement.
Any condition that can cause brain injury can damage the basal ganglia. Such conditions include:
A common cause of the symptoms of basal ganglia dysfunction is chronic use of medicines used to treat schizophrenia.
Many brain disorders are associated with basal ganglia dysfunction. They include:
Damage to the basal ganglia cells may cause problems controlling speech, movement, and posture. This combination of symptoms is called parkinsonism.
A person with basal ganglia dysfunction may have trouble starting, stopping, or sustaining movement. Depending on which area of the brain is affected, there may also be problems with memory and other thought processes.
In general, symptoms vary and may include:
The health care provider will perform a physical exam and ask about the symptoms and medical history.
Blood and imaging tests may be needed. These may include:
Treatment depends on the cause of the disorder.
How well a person does depends on the cause of the dysfunction. Some causes are reversible, while others require lifelong treatment.
Call your provider if you have any:
Jankovic J. Parkinson disease and other movement disorders. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff’s Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 96.
Okun MS, Lang AE. Other movement disorders. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 382.
Vestal E, Rusher A, Ikeda K, Melnick M. Disorders of the basal nuclei. In: Lazaro RT, Reina-Guerra SG, Quiben MU, eds. Umphred's Neurological Rehabilitation. 7th ed. St Louis, MO: Elsevier; 2020:chap 18.
BACK TO TOPReview Date: 5/2/2022
Reviewed By: Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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06/01/2025
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