Drug-induced dystonia in a patient with C4 quadriplegia. Case report.

Abstract:

:Prochlorperazine, a piperazine phenothiazine, is a commonly used anti-emetic that blocks dopamine receptors in the central nervous system. Prochlorperazine causes various extrapyramidal syndromes, with the incidence in the inpatient population estimated to be 0.5 to 0.8%. These side effects are typically manifested by motor dysfunction and easily observed on physical examination. We report the case of an 18-year-old male with C4 complete quadriplegia who developed an acute dystonic reaction isolated to the tongue during short-term treatment with prochlorperazine. This case demonstrates the importance of maintaining a high level of suspicion in the spinal cord population, considering that many key physical findings may be absent below the level of function.

journal_name

Am J Phys Med Rehabil

authors

Reecer MV,Clinchot DM,Tipton DB

doi

10.1097/00002060-199304000-00007

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

97-8

issue

2

eissn

0894-9115

issn

1537-7385

journal_volume

72

pub_type

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