0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Parkinsonism Associated With Long-term Cocaine Abuse

Pere Domingo, MD; Esteban Martínez, MD
Arch Intern Med. 1997;157(2):241. doi:10.1001/archinte.1997.00440230121017.
Text Size: A A A
Published online

Cocaine abuse may produce several medical complications.1 Reported neurologic complications include headache, seizures, focal neurologic defects due to ischemia and/or hemorrhage, subarachnoid hemorrhage, and exacerbation of the symptoms of Tourette syndrome.1-3 We describe a patient in whom parkinsonism developed in association with long-term cocaine abuse, a complication not previously reported, to our knowledge.

Report of a Case.  A 35-year-old man with a 20-year history of drug addiction had consumed amphetamine and cannabis until he was 20 years old. After that, he began using both intranasal and intravenous cocaine several days a week. He complained of having evolution tremors for 1 year. The tremors, which began in his right arm and later affected his left arm as well, made it impossible for him to do his job for the last 2 months before he came to the hospital. Physical examination revealed a loss of corporal mobility and facial expression.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 3

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();