Narula Naureen, Siddiqui Faraz, Katyal Nakul, Krishnan Nithya, Chalhoub Michel
Internal Medicine, Staten Island University Hospital.
Pulmonary and Critical Care, Staten Island University Hospital.
Cureus. 2017 Dec 22;9(12):e1981. doi: 10.7759/cureus.1981.
Movement disorders represent one of the less common presentations of cocaine toxicity observed in clinical practice. Given the magnitude of crack cocaine use, it is vital to understand the underlying pathogenesis. We present a case of a patient who clinically exhibited cocaine-induced choreoathetosis. The diagnosis was confirmed after ruling out all other organic causes of de novo choreoathetoid movement. This case highlights the association of cocaine with choreoathetoid movements. We propose a preliminary understanding of the underlying pathogenesis, which may help intensivists better recognize this uncommon phenomenon.
运动障碍是临床实践中观察到的可卡因中毒较少见的表现之一。鉴于快克可卡因使用的规模，了解其潜在发病机制至关重要。我们报告一例临床上表现为可卡因诱发的舞蹈手足徐动症的患者。在排除所有其他新发舞蹈手足徐动样运动的器质性病因后确诊。该病例突出了可卡因与舞蹈手足徐动样运动的关联。我们提出对潜在发病机制的初步认识，这可能有助于重症监护医生更好地识别这一罕见现象。
