Citation

Snell LB, Bakshi D. BMJ Case Rep. 2015; 2015(ePub): ePub.

Affiliation

East & North Hertfordshire Hospitals NHS Trust, Welwyn Garden City, UK.

Copyright

(Copyright © 2015, BMJ Publishing Group)

DOI

10.1136/bcr-2014-207796

PMID

26082097

Abstract

We present a case of adverse neurological effects of methylphenidate therapy for attention deficit and hyperactivity disorder (ADHD). A 7-year-old boy presented to the emergency department (ED) having developed ataxic gait, orofacial dyskinesias and choreoathetosis of the limbs. The results of all blood investigations, EEG and CT scan of the head were unremarkable. Subsequently, a detailed history revealed he was being treated for ADHD, being started on methylphenidate in the past 3 months. Discontinuation of methylphenidate led to significant and rapid amelioration of neurological adverse effects.

Language: en