Skip to main content
Log in

Extrapyrbmidal syndrome following chloroquine therapy

  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Summary

The clinical profile of extrapyramidal manifestations following chloroquine therapy for the treatment of malaria in 4 children is described. The characteristic features included upward rolilng of the eyeballs, trismus, torticollis and bizarve writhing torsion dystonia of the limbs. The effect appears to be dose-related rather than idiosyncratic and is self limited because spontaneous recovery occurred in all patients within 48 hours.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Akindelde, M.O., Jodenie, A.O. (1976). Amodiaquine induced involuntary movements.Brit. Med. J. 2, 214.

    Google Scholar 

  • Bharyava, R.K., Parekh, K.L., Hakim, A., Gori, M.N., Bhandari, N.C. (1973). Extrapyramidal syndrome following administration of antimalarials.Assn. Phys. India,21, 969.

    Google Scholar 

  • Branchey, M.H., Charles, J., Simpson, G.M. (1976). Extrapyramidal side effects in lithium maintenance therapy.Amer. J. Psychiatry. 133, 444.

    CAS  Google Scholar 

  • Catchpool, J.F. (1974). In Review of Medical Pharmacology. Editors—Meyer, F.H., Jawetg, E. Goldfien, A. IV Ed.Lange Medical Publications, P. 600.

  • Coleman, H.J., Hayes, P.E. (1975). Drug induced extrapyramidal effects—A review.Dis. New. Sys. 36, 561.

    Google Scholar 

  • De Silva, K.L., Muller, P.J., Pearce, J. (1973). Acute drug induced ext dal syndrome.Practitioner,211, 316.

    PubMed  Google Scholar 

  • Eronini, E.M.U., Eronini, E.A. (1977). Chloroquine induced involuntary movements.Brit. Med. J. 1, 945.

    Article  PubMed  Google Scholar 

  • Jon, J.E., Kilman, M.R. (1976). Extrapyramidal disturbances and vascular changes during diphenyl hydantoin intoxication.Canad. Mec. Assoc. J. 111, 636.

    Google Scholar 

  • Lader, M.H. (1970). Drug induced extrapyramidal syndromes.J. R. Coll Phys. Lond. 5, 87.

    CAS  Google Scholar 

  • Ladhani, F.M. (1974). Severe extrapyramidal manifestations following fluphenazine overdose.Med. J. Australia,2, 26.

    PubMed  CAS  Google Scholar 

  • Lavenstin, B.L., Cantor, F.K. (1976). Acute dystonia—Unusual reaction to diphenhydramine.JAMA,236, 291.

    Article  Google Scholar 

  • Patel, H., Crichton, J.U. (1968). Neurological hazards of diphenylhydantion in childhood.J. Pediatr,73, 676.

    Article  PubMed  CAS  Google Scholar 

  • Peters, H.A., Eichmun, P.L., Price, J.M., Kozelika, F.L., Reese, H.H. (1966). Abnormal copper and tryptophan metabolism and chelation therapy in anticonvulsant drug intolerance.Dis. Nerv. Sys. 27, 97.

    CAS  Google Scholar 

  • Pohl, J.E. (1975). Development and management of extrapyramidal symptoms in hypertensive patients treated with diazoxide.Amer. Heart J. 89, 401.

    Article  PubMed  CAS  Google Scholar 

  • Poirier, L.J. (1974). Naurological mechanisms involved in experimentally induced extrapyramidal disturbances,Confina Neurol. 36, 223.

    Article  CAS  Google Scholar 

  • Price, W.C. and Frank, M.E. (1950). Accidental acute dilantin poisoning,J. Pediatr. 36, 652.

    Article  PubMed  CAS  Google Scholar 

  • Rollo, J.M. (1975). In the Pharmacological Basis of Therapeutics, Editors, Goodman, L.S., and Gilman, A,McMillan Publishing Co. Inc, VI Ed, p. 1045.

  • Sharma, D.B., Lahori, U.C. (1975). Acute phenothiazine intoxication in children.Indian Pediatr.,12, 725.

    PubMed  CAS  Google Scholar 

  • Shopsin, B., Gershon, S. (1975). Cogwheel rigidity related to lithium maintenance.Amer. J. Psychiat. 132, 536.

    PubMed  CAS  Google Scholar 

  • Swett, C. Jr. (1974). Drug induced dystonia.Amer J. Psychiat. 132, 532.

    Google Scholar 

  • Synder, S.H., Greenberg, D., Yamamumuru, H.I. (1974). Antischizophrenic drugs; affinity for muscuramic cholinergic receptor sites in brain predicts extrapyramidal effects.J. Psychiatr. Res. 11, 91.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

From the Department of Paediatrics, All-India Institute of Medical Sciences, New Delhi-110016

Rights and permissions

Reprints and permissions

About this article

Cite this article

Singhi, S., Singhi, P. & Singh, M. Extrapyrbmidal syndrome following chloroquine therapy. Indian J Pediatr 46, 58–60 (1979). https://doi.org/10.1007/BF02811499

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02811499

Keywords

Navigation