Hounnou Patrice, Nicoucar Keyvan
Hôpital du Jura Bernois, Saint-Imier, Switzerland.
BMJ Case Rep. 2014 Apr 11;2014:bcr2013201282. doi: 10.1136/bcr-2013-201282.
A 30-year-old woman with chronic foot pain after an orthopaedic surgery and chronic neck pain presented to the emergency department (ED) with a history of self-rotatory vertigo with unsteadiness. She had started low-dose pregabalin, 25 mg two times a day 9 months before experiencing symptoms with the dose gradually increased to 150 mg two times a day over this period. Clinical examination revealed difficulty performing eye pursuit with left eye and dysdiadochokinesia of the left arm. Owing to a suspicion of multiple sclerosis she underwent cerebral MRI, which was normal. Pregabalin was tapered over 2 months with a complete disappearance of the symptoms. We concluded that symptoms were due to pregabalin treatment.
一名30岁女性，骨科手术后患有慢性足部疼痛和慢性颈部疼痛，因自述有旋转性眩晕伴步态不稳前来急诊科就诊。她在出现症状前9个月开始服用低剂量普瑞巴林，每日两次，每次25毫克，在此期间剂量逐渐增加至每日两次，每次150毫克。临床检查发现左眼进行眼球跟踪困难，左臂轮替动作障碍。由于怀疑患有多发性硬化症，她接受了脑部磁共振成像检查，结果正常。普瑞巴林在2个月内逐渐减量，症状完全消失。我们得出结论，症状是由普瑞巴林治疗引起的。
