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.
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Akindelde, M.O., Jodenie, A.O. (1976). Amodiaquine induced involuntary movements.Brit. Med. J. 2, 214.
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.
Branchey, M.H., Charles, J., Simpson, G.M. (1976). Extrapyramidal side effects in lithium maintenance therapy.Amer. J. Psychiatry. 133, 444.
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.
De Silva, K.L., Muller, P.J., Pearce, J. (1973). Acute drug induced ext dal syndrome.Practitioner,211, 316.
Eronini, E.M.U., Eronini, E.A. (1977). Chloroquine induced involuntary movements.Brit. Med. J. 1, 945.
Jon, J.E., Kilman, M.R. (1976). Extrapyramidal disturbances and vascular changes during diphenyl hydantoin intoxication.Canad. Mec. Assoc. J. 111, 636.
Lader, M.H. (1970). Drug induced extrapyramidal syndromes.J. R. Coll Phys. Lond. 5, 87.
Ladhani, F.M. (1974). Severe extrapyramidal manifestations following fluphenazine overdose.Med. J. Australia,2, 26.
Lavenstin, B.L., Cantor, F.K. (1976). Acute dystonia—Unusual reaction to diphenhydramine.JAMA,236, 291.
Patel, H., Crichton, J.U. (1968). Neurological hazards of diphenylhydantion in childhood.J. Pediatr,73, 676.
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.
Pohl, J.E. (1975). Development and management of extrapyramidal symptoms in hypertensive patients treated with diazoxide.Amer. Heart J. 89, 401.
Poirier, L.J. (1974). Naurological mechanisms involved in experimentally induced extrapyramidal disturbances,Confina Neurol. 36, 223.
Price, W.C. and Frank, M.E. (1950). Accidental acute dilantin poisoning,J. Pediatr. 36, 652.
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.
Shopsin, B., Gershon, S. (1975). Cogwheel rigidity related to lithium maintenance.Amer. J. Psychiat. 132, 536.
Swett, C. Jr. (1974). Drug induced dystonia.Amer J. Psychiat. 132, 532.
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.
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From the Department of Paediatrics, All-India Institute of Medical Sciences, New Delhi-110016
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Singhi, S., Singhi, P. & Singh, M. Extrapyrbmidal syndrome following chloroquine therapy. Indian J Pediatr 46, 58–60 (1979). https://doi.org/10.1007/BF02811499
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DOI: https://doi.org/10.1007/BF02811499