Newman P K, Saunders M
Postgrad Med J. 1979 Oct;55(648):701-3. doi: 10.1136/pgmj.55.648.701.
The peripheral and central neurotoxic effects of lithium carbonate are illustrated by 4 case histories. Lithium neurotoxicity is likely to be more common than the literature suggests. Neurological sequelae may be irreversible and may be associated with therapeutic serum levels. Prevention may be facilitated by more stringent case selection, EEG and clinical monitoring and the development of improved methods of drug level assessment.
4例病史说明了碳酸锂的外周和中枢神经毒性作用。锂神经毒性可能比文献报道的更为常见。神经后遗症可能是不可逆的,且可能与治疗性血清水平相关。更严格的病例选择、脑电图和临床监测以及改进药物水平评估方法可能有助于预防。