Postanoxia-Induced Chorea Treated with Intravenous Fentanyl

The case presented is that of a young male with postanoxic brain injury secondary to cocaine overdose who began to exhibit choreiform movements of the left upper extremity. Traditional treatment options for chorea were unsuccessful, leading to the administration of fentanyl, which rapidly resolved t...

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Main Authors: Ashley Audi, Brittany Cunningham, Christopher Newey
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2023/7652013
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author Ashley Audi
Brittany Cunningham
Christopher Newey
author_facet Ashley Audi
Brittany Cunningham
Christopher Newey
author_sort Ashley Audi
collection DOAJ
description The case presented is that of a young male with postanoxic brain injury secondary to cocaine overdose who began to exhibit choreiform movements of the left upper extremity. Traditional treatment options for chorea were unsuccessful, leading to the administration of fentanyl, which rapidly resolved the patient’s choreiform movements. There is a limited research involving the treatment of chorea in anoxic brain injury as well as fentanyl’s role in the movement pathway. We hypothesize that chorea can be caused or exacerbated by opioid withdrawal in a patient with chronic opioid use through modulation of dopamine transmission.
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institution Kabale University
issn 2090-6676
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series Case Reports in Neurological Medicine
spelling doaj-art-5b5fc8f69a9d4383affd4eeb01ea38552025-08-20T03:35:00ZengWileyCase Reports in Neurological Medicine2090-66762023-01-01202310.1155/2023/7652013Postanoxia-Induced Chorea Treated with Intravenous FentanylAshley Audi0Brittany Cunningham1Christopher Newey2Section of MedicineSection of PharmacyDepartment Chair of Neurocritical Care and ICU-EEGThe case presented is that of a young male with postanoxic brain injury secondary to cocaine overdose who began to exhibit choreiform movements of the left upper extremity. Traditional treatment options for chorea were unsuccessful, leading to the administration of fentanyl, which rapidly resolved the patient’s choreiform movements. There is a limited research involving the treatment of chorea in anoxic brain injury as well as fentanyl’s role in the movement pathway. We hypothesize that chorea can be caused or exacerbated by opioid withdrawal in a patient with chronic opioid use through modulation of dopamine transmission.http://dx.doi.org/10.1155/2023/7652013
spellingShingle Ashley Audi
Brittany Cunningham
Christopher Newey
Postanoxia-Induced Chorea Treated with Intravenous Fentanyl
Case Reports in Neurological Medicine
title Postanoxia-Induced Chorea Treated with Intravenous Fentanyl
title_full Postanoxia-Induced Chorea Treated with Intravenous Fentanyl
title_fullStr Postanoxia-Induced Chorea Treated with Intravenous Fentanyl
title_full_unstemmed Postanoxia-Induced Chorea Treated with Intravenous Fentanyl
title_short Postanoxia-Induced Chorea Treated with Intravenous Fentanyl
title_sort postanoxia induced chorea treated with intravenous fentanyl
url http://dx.doi.org/10.1155/2023/7652013
work_keys_str_mv AT ashleyaudi postanoxiainducedchoreatreatedwithintravenousfentanyl
AT brittanycunningham postanoxiainducedchoreatreatedwithintravenousfentanyl
AT christophernewey postanoxiainducedchoreatreatedwithintravenousfentanyl