Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Mar 19:8:567-9.
doi: 10.2147/OPTH.S60041. eCollection 2014.

Oculogyric crisis in a patient taking metoclopramide

Yaran Koban  1 , Metin Ekinci  1 , Halil Huseyin Cagatay  1 , Zeliha Yazar  1
Affiliations
Case Reports

Oculogyric crisis in a patient taking metoclopramide

Yaran Koban et al. Clin Ophthalmol. .

Abstract

Oculogyric crisis is an acute dystonic reaction of the ocular muscles characterized by bilateral dystonic elevation of visual gaze lasting from seconds to hours. This reaction is most commonly explained as an adverse reaction to drugs such as antiemetics, antipsychotics, antidepressants, antiepileptics, and antimalarials. Although the incidence of metoclopramide-induced acute dystonic reactions has been reported as 25% in children, there have been few published cases on oculogyric crisis in general. It is important to be able to recognize this ocular side effect because, without a thorough patient history, symptoms can be confused with other diseases such as versive seizures, paroxysmal tonic upward gaze, and encephalopathy. In this paper, we report a case of oculogyric crisis induced by metoclopramide.

Keywords: dystonic reactions; metoclopramide; oculogyric crisis.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Metoclopramide-induced oculogyric crisis.
See this image and copyright information in PMC

References

    1. Hibbs AM, Lorch SA. Metoclopramide for the treatment of gastroesophageal reflux disease in infants: a systematic review. Pediatrics. 2006;118(2):746–752. - PubMed
    1. Batts KF, Munter DW. Metoclopramide toxicity in an infant. Pediatr Emerg Care. 1998;14(1):39–41. - PubMed
    1. Carey MJ, Aitken ME. Diverse effects of antiemetics in children. N Z Med J. 1994;107(989):452–453. - PubMed
    1. Low LC, Goel KM. Metoclopramide poisoning in children. Arch Dis Child. 1980;55(4):310–312. - PMC - PubMed
    1. Yis U, Ozdemir D, Duman M, Unal N. Metoclopramide induced dystonia in children: two case reports. Eur J Emerg Med. 2005;12(3):117–119. - PubMed

Publication types

LinkOut - more resources