Varied Clinical Presentations of Acute Dystonic Reaction Due to Metoclopramide

dc.contributor.authorCigdem, E. L.
dc.contributor.authorCelikkaya, Mehmet Emin
dc.date.accessioned2024-09-18T19:50:19Z
dc.date.available2024-09-18T19:50:19Z
dc.date.issued2019
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjectives In this article, in light of the literature, we aimed at discussing data obtained from patients in which extrapyramidal adverse effects that are misdiagnosed as varied clinical presentations developed due to metoclopramide, which is frequently prescribed in pediatric emergency services and in family practice centers for its powerful and rapid antiemetic action. Methods The files of patients who presented to a pediatric clinic at the research hospital of Mustafa Kemal University between January 2017 and January 2018 and who were diagnosed as having acute dystonic reaction were reviewed retrospectively. Results Generalized hypertonicity in 4 patients, abnormal involuntary movements in 2 patients, oculogyric crisis in 2 patients, local hypertonia in the wrist and fingers in 2 patients, spasmodic cervical hypertonicity in 2 patients, and trismus in 1 patient were found. Of the patients, 2 were directed to our clinic with early diagnosis of hypocalcemia, 2 with conversion, 3 with meningitis, 1 with epileptic seizure, 1 with status, 1 with mandibular luxation, 1 with tetanus, and 2 with intracranial pathology. Conclusions The extrapyramidal adverse effects of metoclopramide, which is frequently prescribed in pediatric emergency services and in family practice centers, are highly terrifying for children and parents. Furthermore, it may cause severe anxiety especially in pediatric emergency services because it may mimic many serious diseases.en_US
dc.identifier.doi10.1097/PEC.0000000000001800
dc.identifier.endpage372en_US
dc.identifier.issn0749-5161
dc.identifier.issn1535-1815
dc.identifier.issue5en_US
dc.identifier.pmid30908432en_US
dc.identifier.scopus2-s2.0-85065511704en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage369en_US
dc.identifier.urihttps://doi.org/10.1097/PEC.0000000000001800
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7361
dc.identifier.volume35en_US
dc.identifier.wosWOS:000467740700017en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofPediatric Emergency Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectacute dystoniaen_US
dc.subjectmetoclopramideen_US
dc.subjectvaried clinical presentationsen_US
dc.titleVaried Clinical Presentations of Acute Dystonic Reaction Due to Metoclopramideen_US
dc.typeArticleen_US

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