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المستخلص Akathisia is a frequent and common adverse effect of treatment with antipsychotic (neuroleptic ) drugs, this syndrome consists of subjective (feeling of inner restlessness and urge to move) as well as objective component \ Rocking while standing or sitting, lifting feet as if marching’ on the spot and crossing and uncrossing the legs while sitting ). ( Miller and Fleischhacker, 2000 ) and ( Barnes, 1990). During acute treatment, around 20-25 % of patients will develop the condition, and in out-patient receiving maintenance drug treatment, a simi lar prevalence has been reported (Gihb and Lees, 1986) Akathisia can be particularly distressing and di fficult to tolerate. This may lead to poor compliance with medication and contribute to exacerbation 01” the original psychotic illness for which treatment was prescribed (Van PlICtCII ct al. 197”). The condition has been also associated with violent, aggressive behavior (Schutle, 19S5) or impulsive suicidal behavior (Shaw et al 1989). The di tfcrcntial diaglwsis includes agitation or psychotic excitement and the ’restless legs’ syndrome (Ekborn, 1960). To several variants have been described: acute akathisia, which may prove to be persistent in sonic cases; chronic akathisia, with emergence or exacerbation in puricnis 011 long-term treatment: and pseudoakathisia; a condition ill which the objective limb movements of |