Case Series: Choreoathetoid movements associated with methamphetamine: A case report and review of literature

Abstract

Clinicians should be alert to the possibility of movement disorders in methamphetamine users and familiar with treatment options. (Am J Addict 2018;XX:1-4).

Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine

“…Methamphetamine has been shown to result in choreoathetosis (involuntary muscle spasms and writhing); however, this effect is rare with no clear guidelines for treatment [ 6 ]. With more severe cases benzodiazepines and antipsychotics can be useful; however, mainstay of treatment in methamphetamine-induced choreoathetosis involves symptomatic management of secondary complaints including body aches and pain secondary to spasm [ 7 ]. In a similar presentation of amphetamine-induced hemichorea, a 46-year-old female patient had subsequent left leg involvement, however in this case lab work including glucose was normal [ 4 ].…”

“…Hemichorea can result from pharmacological agents, in this case, both second-generation antipsychotics and methamphetamine are present and are potential contributors to our patient's presentation. In this case report, we describe a non-ketotic hyperglycemic hemichorea-hemiballismus with other potential secondary etiologies also present [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16].…”