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Prochlorperazine-Induced Hemidystonia Mimicking Acute Stroke.

Abstract
Prochlorperazine is frequently used in the treatment of refractory nausea and migraines. Known side effects include extrapyramidal symptoms such as akathisia and dystonia. We report a pregnant patient taking prochlorperazine for hyperemesis gravidarum who developed hemidystonia, which triggered an acute code stroke response from prehospital, emergency medicine and neurology providers. We suspect this report to be the first case of prochlorperazine-induced hemidystonia as a stroke mimic.
AuthorsZlatan Coralic, Anthony S Kim, David R Vinson
JournalThe western journal of emergency medicine (West J Emerg Med) Vol. 16 Issue 4 Pg. 572-4 (Jul 2015) ISSN: 1936-9018 [Electronic] United States
PMID26265971 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Diphenhydramine
  • Prochlorperazine
Topics
  • Adult
  • Diphenhydramine (therapeutic use)
  • Dystonia (chemically induced, diagnosis, drug therapy)
  • Emergency Medicine
  • Female
  • Humans
  • Hyperemesis Gravidarum (drug therapy)
  • Infusions, Intravenous
  • Pregnancy
  • Prochlorperazine (adverse effects, therapeutic use)
  • Prospective Studies
  • Stroke

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