Skip to main content
. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Machado 2010.

Methods A patient report of a 6‐year old girl developing acute choreoathetoid movements induced by methylphenidate treatment
Participants Diagnosis of ADHD: DSM‐IV (subtype: not stated)
Age: 6 years old
IQ: above 70
Sex: female
Ethnicity: not stated
Country: USA
Comorbidity: psychomotor developmental delay, discrete macrocephalus, congenital mild ataxia, and hyperactivity. Otherwise healthy
Comedication: none
Sociodemographics: her parents were first‐degree relatives. No family history of neurological disease
Interventions Methylphenidate type: extended release
Methylphenidate dosage: 18 mg/day
Administration schedule: once daily in the morning
Duration of treatment: single dose
Outcomes Serious adverse events:
After single dose extended‐release methylphenidate 18 mg: choreoathetoid movements of orofacial muscles, arms, and legs, with transient dystonic postures of the right arm
Notes Key conclusions of the study authors: we believe that the immediate response ensuing chlorpromazine prescription argues in favor of a specific role for dopamine receptor antagonists in methylphenidate‐induced chorea
Comments from the review authors: the author is not sure that the girl fulfilled criteria E of the ADHD diagnosis (DSM‐IV). The author only saw the girl once in the emergency unit
Supplemental information regarding diagnosis and IQ received through personal email correspondence with the authors in October 2013 (Machado 2013 [pers comm])