Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide
We present the case of a 14-year-old boy who developed an acute dystonic reaction 5 h following the overuse of a nasal metoclopramide spray that his mother gave him thinking it was a nasal decongestant. The patient had torticollis and intense motor restlessness, while he was fully conscious and hemo...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2021-02-01
|
| Series: | Case Reports in Acute Medicine |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/512655 |
| _version_ | 1818615284345339904 |
|---|---|
| author | Panagiota Zikidou Rozeta Meziridou Sonia Alexiadou Elpis Mantadakis |
| author_facet | Panagiota Zikidou Rozeta Meziridou Sonia Alexiadou Elpis Mantadakis |
| author_sort | Panagiota Zikidou |
| collection | DOAJ |
| description | We present the case of a 14-year-old boy who developed an acute dystonic reaction 5 h following the overuse of a nasal metoclopramide spray that his mother gave him thinking it was a nasal decongestant. The patient had torticollis and intense motor restlessness, while he was fully conscious and hemodynamically stable. All laboratory investigations were normal. He was treated with a single dose of biperiden intravenously with direct disappearance of the symptoms. Children are particularly susceptible to the extrapyramidal side effects of metoclopramide that can occur irrespective of the route of administration. |
| first_indexed | 2024-12-16T16:31:28Z |
| format | Article |
| id | doaj.art-bb516c95d618493982654b88290f524d |
| institution | Directory Open Access Journal |
| issn | 2504-5288 |
| language | English |
| last_indexed | 2024-12-16T16:31:28Z |
| publishDate | 2021-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Acute Medicine |
| spelling | doaj.art-bb516c95d618493982654b88290f524d2022-12-21T22:24:35ZengKarger PublishersCase Reports in Acute Medicine2504-52882021-02-01411610.1159/000512655512655Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal MetoclopramidePanagiota ZikidouRozeta MeziridouSonia AlexiadouElpis MantadakisWe present the case of a 14-year-old boy who developed an acute dystonic reaction 5 h following the overuse of a nasal metoclopramide spray that his mother gave him thinking it was a nasal decongestant. The patient had torticollis and intense motor restlessness, while he was fully conscious and hemodynamically stable. All laboratory investigations were normal. He was treated with a single dose of biperiden intravenously with direct disappearance of the symptoms. Children are particularly susceptible to the extrapyramidal side effects of metoclopramide that can occur irrespective of the route of administration.https://www.karger.com/Article/FullText/512655intranasal metoclopramideextrapyramidal side effectsacute dystonic reaction |
| spellingShingle | Panagiota Zikidou Rozeta Meziridou Sonia Alexiadou Elpis Mantadakis Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide Case Reports in Acute Medicine intranasal metoclopramide extrapyramidal side effects acute dystonic reaction |
| title | Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide |
| title_full | Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide |
| title_fullStr | Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide |
| title_full_unstemmed | Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide |
| title_short | Acute Dystonic Reaction in a 14-Year-Old Boy after Accidental Overuse of Nasal Metoclopramide |
| title_sort | acute dystonic reaction in a 14 year old boy after accidental overuse of nasal metoclopramide |
| topic | intranasal metoclopramide extrapyramidal side effects acute dystonic reaction |
| url | https://www.karger.com/Article/FullText/512655 |
| work_keys_str_mv | AT panagiotazikidou acutedystonicreactionina14yearoldboyafteraccidentaloveruseofnasalmetoclopramide AT rozetameziridou acutedystonicreactionina14yearoldboyafteraccidentaloveruseofnasalmetoclopramide AT soniaalexiadou acutedystonicreactionina14yearoldboyafteraccidentaloveruseofnasalmetoclopramide AT elpismantadakis acutedystonicreactionina14yearoldboyafteraccidentaloveruseofnasalmetoclopramide |