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Updated: Jul 15, 2026
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Published on: November 28, 2025
Crack dancing in the United Kingdom: apropos a video case presentation
1Department of Care of the Elderly Medicine, Derby Royal Infirmary, Nottingham, UK. skamath8@yahoo.co.uk
Summary
This study documents acute choreiform movements, known as "crack dancing," following intravenous cocaine use. These involuntary movements resolved within a week, highlighting a recognized but rarely reported cocaine-induced neurological effect.
Area of Science:
- Neurology
- Toxicology
- Neuroscience
Background:
- Cocaine abuse is linked to diverse movement disorders, including chorea, dystonia, and tics.
- Cocaine-induced choreiform movements, termed "crack dancing" by users, are transient but infrequently documented in medical literature.
Observation:
- An adult patient developed acute choreiform movements four days after a large intravenous dose of cocaine.
- The patient's involuntary movements were observed to be transitory, resolving spontaneously within one week of hospital admission.
Findings:
- This case represents the first video documentation of acute chorea secondary to cocaine administration.
- The observed choreiform movements in the patient normalized within seven days, consistent with the transient nature of "crack dancing."
Implications:
- This report underscores the importance of considering cocaine intoxication in the differential diagnosis of acute-onset chorea.
- Increased awareness and documentation of "crack dancing" may improve clinical recognition and management of cocaine-related neurological complications.
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