Pediatr. praxi. 2009;10(2):105-106

Painful spasms of nape, neck, and back muscles as a symptom of drug intoxication

MUDr. Josef Grym

Pediatrické oddělení Nemocnice Krnov

The author describes a case of a 17-year-old boy who, during regression of a viral infection manifested by gastroenteritis, presented

with repeated, intermittent, painful spasms or even tonic convulsions that he alleviated by forcefully moving his head into anteflexion.

Following admission, the spasms progressed to involve facial, lingual, and pharyngeal muscles without significantly altering the general

condition. A neurological examination revealed dyskinesias and positive extrapyramidal signs. After having clarified the patient‘s history,

the uncommon complaints and symptoms were interpreted as an adverse effect of overdose with thiethylperazine (Torecan). Following

symptomatic treatment and without a need for further examinations, the difficulties and symptoms subsided within five hours.

Keywords: muscular cramps and spasms, extrapyramidal symptoms, adverse drug reaction, thietylperazine.

Published: April 1, 2009  Show citation