title: Diagnostic difficulties of neurological complications after surgical treatment of acute ascending aorta dissection - a case report.
abstract: Adverse drug reactions deteriorate patient state, delay proper diagnosis and therapy. Drug-induced extrapyramidal syndromes caused by use of receptor D2 antagonists are relatively rare. We present a case of acute dystonia with upper limbs tremors after medication with metoclopramide and neuroleptic drugs in young patient operated on acute aortic dissection. Besides a rare comlication in the shape of right temporo-maxillary joint luxation and somatic symptoms of anxiety reaction occured, what made difficult the proper diagnosis and fast treatment.
authors.affiliation: Department of Cardiosugery, Medical University in Lublin.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Olszewski
authors.forename: Janusz
authors.initials: J
authors.lastname: Stążka
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Krawczyk
authors.forename: Michał
authors.initials: M
authors.lastname: Kozłowicz
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D004409:Dyskinesia, Drug-Induced / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008787:Metoclopramide / Q000008:administration & dosage / Q000009:adverse effects*; D009460:Neurologic Examination; D011182:Postoperative Care / Q000379:methods*; D011292:Premedication / Q000009:adverse effects*
chemical_list: D014150:Antipsychotic Agents; D008787:Metoclopramide