Methamphetamine-induced Choreoathetosis and Rhabdomyolysis
Authors: Laurence S. Sperling
Journal: Annals of Internal Medicine (1994)

Letters15 December 1994Methamphetamine-induced Choreoathetosis and RhabdomyolysisLaurence S. Sperling and Jennifer L. HorowitzLaurence S. Sperling and Jennifer L. HorowitzAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-12-199412150-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Illicit use of a crystalized, smokable form of methamphetamine ("ice") has markedly increased [1]. Small doses can produce significant central nervous system, cardiovascular, and systemic toxic effects. We describe a previously healthy man who developed choreoathetosis and rhabdomyolysis after using crystalized methamphetamine.A 50-year-old man presented to an inner-city hospital in metropolitan Atlanta reporting a 2-day history of hiccups and uncontrollable writhing movements of his face and hands. He had not previously experienced any similar symptoms. He denied any family history of movement disorders, ethanol or substance abuse, intake of medications, or previous illnesses. He was employed ...References1. Derlet RW, Heischober B. Methamphetamine—stimulant of the 1990s? West J Med. 1990; 153:625-8. Google Scholar2. Rhee KJ, Albertson TE, Douglas JC. Choreoathetoid disorder associated with amphetamine-like drugs. Am J Emerg Med. 1988; 6:131-3. Google Scholar3. Chan P, Chen JH, Lee MH, Deng JF. Fatal and nonfatal methamphetamine intoxication in the intensive care unit. J Toxicol Clin Toxicol. 1994; 32:141-55. Google Scholar4. Briscoe JG, Curry SC, Gerkin RD, Ruiz RR. Pemoline-induced choreoathetosis and rhabdomyolysis. Med Toxicol Adverse Drug Exp. 1988; 3:72-6. Google Scholar5. Kanazawa I, Kimura M, Murata M, Tanalca Y, Cho F. Choreic movements in the macaque monkey induced by kainic acid lesions of the striatum combined with l-dopa. Pharmacological, biochemical, and physiological studies on neural mechanisms. Brain. 1990; 113:509-35. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByA qualitative exploration of the factors associated with initiation to methamphetamine use in IranTreatment of Secondary Chorea: A Review of the Current LiteratureCase Series: Choreoathetoid movements associated with methamphetamine: A case report and review of literatureBody temperature regulation and drugs of abuseMolecular, Behavioral, and Physiological Consequences of Methamphetamine Neurotoxicity: Implications for TreatmentMovement Dysfunction as a Neuropathology of Illicit Stimulant AbuseNeurologic Complications of Psychomotor Stimulant AbuseAmphetamine- and methamphetamine-induced hyperthermia: Implications of the effects produced in brain vasculature and peripheral organs to forebrain neurotoxicityCurrent research on the epidemiology, medical and psychiatric effects, and treatment of methamphetamine useNeurologic Manifestations of Chronic Methamphetamine AbuseAcute, Sustained Chorea in Children After Supratherapeutic Dosing of Amphetamine-Derived MedicationsMethamphetamine: History, Pathophysiology, Adverse Health Effects, Current Trends, and Hazards Associated with the Clandestine Manufacture of MethamphetamineHyperkinetic Movement DisordersNeurologic Manifestations of Chronic Methamphetamine AbuseMethamphetamine, Ecstasy, and Other Street DrugsThe clinical toxicology of metamfetamineThe Methamphetamine Problem in the United StatesHealth Conditions in Methamphetamine-Dependent Adults 3 Years After TreatmentIntermittent Dopaminergic Stimulation causes Behavioral Sensitization in the Addicted Brain and ParkinsonismNeuropsychiatric Complications of Substance AbuseDo Preclinical Findings of Methamphetamine-Induced Motor Abnormalities Translate to an Observable Clinical Phenotype?Toxin-Induced Movement DisordersMOVEMENT DISORDERS AND SUBSTANCE ABUSERhabdomyolysis and drugs of abuseMethamphetamine abuse and rhabdomyolysis in the ED: A 5-year studyChoreoathetoid movements in cocaine dependenceChemical restraint for the agitated patient in the emergency department: lorazepam versus droperidolPemoline Induced Acute Choreoathetosis: Case Report and Review of the Literature 15 December 1994Volume 121, Issue 12Page: 986KeywordsAmphetaminesBloodCreatine kinaseDrugsResearch laboratoriesRhabdomyolysisThyroidToxicologyUric acidVeins Issue Published: 15 December 1994 CopyrightCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...