Drug-related dystonic reactions are not uncommon and often misdiagnosed as encephalitis, seizures, tetanus, tetany, etc. Eliciting thorough history is important to avoid unnecessary investigations and treatments as these are potentially reversible reactions. Metoclopramide-induced oculogyric crisis is described in this case report.
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Oculogyric crisis in a patient taking metoclopramide.
Clin Ophthalmol
March 2014
Department of Ophthalmology, Faculty of Medicine, Kafkas University, Kars, Turkey.
Oculogyric crisis is an acute dystonic reaction of the ocular muscles characterized by bilateral dystonic elevation of visual gaze lasting from seconds to hours. This reaction is most commonly explained as an adverse reaction to drugs such as antiemetics, antipsychotics, antidepressants, antiepileptics, and antimalarials. Although the incidence of metoclopramide-induced acute dystonic reactions has been reported as 25% in children, there have been few published cases on oculogyric crisis in general.
View Article and Find Full Text PDFMetoclopramide-induced acute dystonic reaction: a case report.
Eurasian J Med
February 2013
Department of Infectious Disease and Clinical Microbiology, Umraniye Training and Research Hospital, Istanbul, Turkey.
The aim of this case report is to draw attention to the frequent occurrence of metoclopramide-induced movement disorders. We report a case of an acute dystonic reaction to metoclopramide in a patient treated for hepatitis A. Metoclopramide can cause severe adverse events, such as an acute dystonic reaction, and should be used with caution in patients with infectious diseases.
View Article and Find Full Text PDFMetoclopramide-induced oculogyric crisis presenting as encephalitis in a young girl.
Indian J Pharmacol
March 2012
Department of Paediatrics, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, Tamil Nadu, India.
Drug-related dystonic reactions are not uncommon and often misdiagnosed as encephalitis, seizures, tetanus, tetany, etc. Eliciting thorough history is important to avoid unnecessary investigations and treatments as these are potentially reversible reactions. Metoclopramide-induced oculogyric crisis is described in this case report.
View Article and Find Full Text PDFA case of metoclopramide-induced oculogyric crisis in a 16-year-old girl with cystic fibrosis.
South Med J
November 2006
Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Oculogyric crisis is a neurologic reaction characterized by bilateral dystonic elevation of visual gaze as well as hyperextension of the neck. This reaction is most commonly explained as an adverse effect of numerous medications, such as dopamine receptor blocking agents or neuroleptic medications and traditional antipsychotic or antiemetic drugs, such as prochlorperazine or metoclopramide. A case of oculogyric crisis induced by metoclopramide is described in this paper.
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