[Dyskinetic syndrome following the use of metoclopramide]

The relation to the wide use of metoclopramide side effects are rare. These concern the extrapyramidal-motor system among others in form of dyskinetic syndrome. At the instance of a 15-year-old boy the dramatic course with cramp-like increases of the muscle tonus and compulsive movements in head and shoulder region are described. The knowledge of these medicament-induced symptoms is of differential-diagnostic importance to avoid false diagnose and to act with a definite aim. In easier forms of a dyskinetic syndrome suffices the discontinuation of the metoclopramide medication, in more severe cases proves the use of antiparkinsonian agents.