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锂中毒性神经疾病伴脑电图改变。

Lithium neurotoxicity with electroencephalogram changes.

机构信息

Department of Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia

Department of Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.

出版信息

BMJ Case Rep. 2021 Nov 17;14(11):e246499. doi: 10.1136/bcr-2021-246499.

Abstract

Lithium is a medication with a variety of medical usage for various diseases including bipolar mood disorder. As the therapeutic window of lithium is narrow, its usage is commonly associated with toxicity. Lithium toxicity affects multiple systems especially the central nervous system, leading to neuropsychiatric complications. Haemodialysis is an effective method for lithium removal especially in severe lithium toxicity such as neurotoxicity with electroencephalogram changes. We describe a case of lithium neurotoxicity with electroencephalographic abnormalities which was reversed following haemodialysis.

摘要

锂是一种具有多种医学用途的药物,可用于治疗多种疾病,包括双相情感障碍。由于锂的治疗窗狭窄,其使用通常与毒性有关。锂中毒会影响多个系统,特别是中枢神经系统,导致神经精神并发症。血液透析是一种有效的锂清除方法,特别是在严重的锂中毒,如伴有脑电图改变的神经毒性。我们描述了一例锂中毒性脑病,经血液透析后异常脑电图恢复正常。

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本文引用的文献

1
Lithium neurotoxicity presenting as dementia with therapeutic serum lithium levels.
BMJ Case Rep. 2019 Jan 17;12(1):bcr-2018-227741. doi: 10.1136/bcr-2018-227741.
3
Do not treat the numbers: lithium toxicity.
BMJ Case Rep. 2017 Jun 2;2017:bcr-2017-220079. doi: 10.1136/bcr-2017-220079.
4
Lithium Poisoning.
J Intensive Care Med. 2017 May;32(4):249-263. doi: 10.1177/0885066616651582. Epub 2016 Aug 11.
5
Nonconvulsive status epilepticus and Creutzfeldt-Jakob-like EEG changes in a case of lithium toxicity.
Epilepsy Behav Case Rep. 2014 Nov 28;2:203-5. doi: 10.1016/j.ebcr.2014.08.005. eCollection 2014.
6
Extracorporeal Treatment for Lithium Poisoning: Systematic Review and Recommendations from the EXTRIP Workgroup.
Clin J Am Soc Nephrol. 2015 May 7;10(5):875-87. doi: 10.2215/CJN.10021014. Epub 2015 Jan 12.
10
[Lithium intoxications at normal serum levels].
Psychiatr Prax. 2008 May;35(4):198-200. doi: 10.1055/s-2007-986226. Epub 2007 Nov 6.

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