加巴喷丁诱发的慢性肾脏病急性加重时的面部肌阵挛
Gabapentin-induced Facial Myoclonus in the Setting of Acute on Chronic Kidney Disease.
作者信息
Hampton Zach, Shahrestani Nasir, Little Andrew
机构信息
Emergency Medicine, OhioHealth Doctors Hospital, Columbus, USA.
出版信息
Cureus. 2019 May 25;11(5):e4758. doi: 10.7759/cureus.4758.
An 82-year-old male with chronic kidney disease presented to the emergency department with sudden onset of left sided facial myoclonus. Myoclonus is a rare, but known side effect of gabapentin; however, there does not appear to be documented cases of gabapentin-induced facial myoclonus described in the emergency medicine literature. This case discusses the emergency department evaluation and inpatient treatment of gabapentin-induced facial myoclonus in the setting of acute on chronic kidney disease. Though rare, side effects of gabapentin should remain on a broad differential diagnosis in patients taking the medication who present with myoclonus, especially in the setting of chronic kidney disease.
一名患有慢性肾脏病的82岁男性因突发左侧面部肌阵挛而就诊于急诊科。肌阵挛是加巴喷丁一种罕见但已知的副作用；然而，急诊医学文献中似乎没有加巴喷丁诱发面部肌阵挛的病例记录。本病例讨论了在慢性肾脏病急性发作背景下加巴喷丁诱发面部肌阵挛的急诊科评估和住院治疗。尽管罕见，但对于服用加巴喷丁且出现肌阵挛的患者，尤其是在慢性肾脏病背景下，加巴喷丁的副作用仍应列入广泛的鉴别诊断范围。
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