Monden M A H, Nederkoorn P J, Tijsma M
Tijdschr Psychiatr. 2015;57(1):49-53.
A 52-year-old woman who had been treated with lithium carbonate for 10 years developed a downbeat nystagmus. The literature describes downbeat nystagmus as a rare side-effect of lithium carbonate. In this patient other causes of downbeat nystagmus were ruled out. In most cases stopping lithium carbonate does not alleviate the symptoms, which are often debilitating. At the moment there is no adequate treatment for the condition. In some cases, however, the symptoms subside after the patient stops taking lithium. Therefore, we consider that early recognition of downbeat nystagmus in patients being treated with lithium carbonate is vitally important.
一名接受碳酸锂治疗10年的52岁女性出现了下跳性眼球震颤。文献将下跳性眼球震颤描述为碳酸锂的一种罕见副作用。在该患者中，已排除了下跳性眼球震颤的其他病因。在大多数情况下，停用碳酸锂并不能缓解症状，这些症状往往使人衰弱。目前对于这种病症尚无充分的治疗方法。然而，在某些情况下，患者停止服用锂后症状会消退。因此，我们认为早期识别接受碳酸锂治疗患者的下跳性眼球震颤至关重要。
