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MedMalReviewer Analysis:
The plaintiff did not make a very compelling case that the patient’s alleged tardive dyskinesia was caused by Seroquel. I reviewed this case with a consultation-liaison psychiatrist who noted several points:
a) Seroquel does not have significant D2 antagonism at the low doses used for sleep, and the patient was only on it for about a year. Higher doses of antipsychotics for longer periods of time have a much stronger association with tardive dyskinesia.
b) Limping would be a very unusual presentation of tardive dyskinesia. Abnormal movements of the face and tongue are much more common, and it doesn’t seem that the patient had these.
c) Use of Seroquel for sleep is very common and well within the standard of care.
It's always reassuring to see a jury reject highly questionable accusations of negligence and decide in favor of a physician. In general, juries are very favorable to physicians and decide in our favor in the large majority of cases that go to trial.