Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism

Intravenous phenytoin (PHT) for suspected seizures may trigger severe choreoathetosis. Discontinuation of PHT results in immediate and complete resolution of hyperkinesias. Co‐medication with valproic acid, levetiracetam, tranquilisers, and anesthetics or alcohol presumably do not modify this advers...

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Autores principales: Finsterer, Josef, Keller, Hans, Reining‐Festa, Alice, Enzelsberger, Barbara, Weidinger, Franz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293133/
https://www.ncbi.nlm.nih.gov/pubmed/30564320
http://dx.doi.org/10.1002/ccr3.1870
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author Finsterer, Josef
Keller, Hans
Reining‐Festa, Alice
Enzelsberger, Barbara
Weidinger, Franz
author_facet Finsterer, Josef
Keller, Hans
Reining‐Festa, Alice
Enzelsberger, Barbara
Weidinger, Franz
author_sort Finsterer, Josef
collection PubMed
description Intravenous phenytoin (PHT) for suspected seizures may trigger severe choreoathetosis. Discontinuation of PHT results in immediate and complete resolution of hyperkinesias. Co‐medication with valproic acid, levetiracetam, tranquilisers, and anesthetics or alcohol presumably do not modify this adverse effect of PHT. Choreoathetosis can be easily misinterpreted as seizures.
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spelling pubmed-62931332018-12-18 Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism Finsterer, Josef Keller, Hans Reining‐Festa, Alice Enzelsberger, Barbara Weidinger, Franz Clin Case Rep Case Reports Intravenous phenytoin (PHT) for suspected seizures may trigger severe choreoathetosis. Discontinuation of PHT results in immediate and complete resolution of hyperkinesias. Co‐medication with valproic acid, levetiracetam, tranquilisers, and anesthetics or alcohol presumably do not modify this adverse effect of PHT. Choreoathetosis can be easily misinterpreted as seizures. John Wiley and Sons Inc. 2018-10-17 /pmc/articles/PMC6293133/ /pubmed/30564320 http://dx.doi.org/10.1002/ccr3.1870 Text en © 2018 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Finsterer, Josef
Keller, Hans
Reining‐Festa, Alice
Enzelsberger, Barbara
Weidinger, Franz
Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
title Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
title_full Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
title_fullStr Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
title_full_unstemmed Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
title_short Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
title_sort phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293133/
https://www.ncbi.nlm.nih.gov/pubmed/30564320
http://dx.doi.org/10.1002/ccr3.1870
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