METOKLOPRAMİD KULLANIMINA BAĞLI GELİŞEN AKUT DİSTONİLİ BİR OLGU

ÖZET Metoklopramid D2 dopamin reseptörlerini antagonize eden bir antiemetiktir. Metoklopramid kul- lanımına bağlı gelişen akut distoni; çocuklarda, genç bayanlarda ve aile öyküsü pozitif olanlarda daha sık görülen nadir bir hastalıktır. Doğru tanıyı koymak için ilaç kullanım anamnezi ve tipik kli- nik prezentasyonun olması gereklidir. Bu olguda ilk başta ayırıcı tanıda zorlandığımız, tedavisinde tekrarlayan biperiden enjeksiyonlarının etkili olduğu metoklopramid kullanımına bağlı gelişen akut distonisi olan bir vakayı sunmaktayız.

A Case of Acute Dystonia Induced by Metoclopramide

ABSTRACT Metoclopramide is an antiemetic drug that antagonizes dopamine D2 receptors. Acute dystonia induced by metoclopramide is a rare disease which is more common in children, young women and patients with a positive family history. The history of the drug intake and typical clinical presentation are essential for the correct diagnosis. In this case, we would like to present a patient with metoclopramide induced acute dystonia that we were first confused about the diagnosis and that recurrent biperiden injections were effective for the therapy.

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