Tardive dyskinesia is by definition a neurological complication resulting from neuroleptic treatment. The exact role of neuroleptic drugs in the etiopathogenicity of this syndrome is discussed. The manifestation of dyskinesia in a patient who is under neuroleptics may involve the responsibility of a physician. The evolution of jurisprudence in the United States is analysed.

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Background: Despite efforts to visualize all the movements of tongue and oropharynx in individuals with focal movement disorders (specifically tardive dyskinesia (TD)), clinicians can miss the complete picture and additional tools may be required to reach an accurate diagnosis.

Cases: We present three cases with TD where ultrasound assisted in diagnoses. These individuals had difficulty swallowing and abnormal sensations in the tongue, which remained undiagnosed until we performed ultrasound of oropharynx which allowed for characterization of these movements.

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