Abstract
Dystonic reactions are extrapyramidal motor dysfunctions that result from an insufficient activity of nigrostriatal dopamine and present clinically as spasms of the various muscle groups. Neuroleptic drugs are a known cause of dystonia and are the most frequently encountered trigger. Cocaine use has been associated with dystonias, though much less often. When reported in the setting of a dystonic reaction, cocaine has been described as a predisposing factor for the patient already using neuroleptic agents. Fewer reports of dystonia as a direct result of cocaine use, independent of neuroleptics, are found in the literature. The cases of two acute dystonic reactions secondary to cocaine use are presented, with a discussion of the pathophysiology and treatment alternatives.
Original language | English (US) |
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Pages (from-to) | 513-515 |
Number of pages | 3 |
Journal | American Journal of Emergency Medicine |
Volume | 15 |
Issue number | 5 |
DOIs | |
State | Published - 1997 |
Keywords
- Cocaine
- Dystonia
- Dystonic reaction
- Opisthotonos
- Torticollis
ASJC Scopus subject areas
- Emergency Medicine