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Low-dose clozapine-related seizure: A case report and literature review
BACKGROUND: Treatment-resistant schizophrenia is a severe form of schizophrenia characterized by poor response to at least two antipsychotic drugs and is typically treated with clozapine. However, clozapine lowers the epileptic threshold, leading to seizures, which are severe side effects of antipsy...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281419/ https://www.ncbi.nlm.nih.gov/pubmed/34307616 http://dx.doi.org/10.12998/wjcc.v9.i20.5611 |
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author | Le, Dan-Sheng Su, Heng Liao, Zheng-Luan Yu, En-Yan |
author_facet | Le, Dan-Sheng Su, Heng Liao, Zheng-Luan Yu, En-Yan |
author_sort | Le, Dan-Sheng |
collection | PubMed |
description | BACKGROUND: Treatment-resistant schizophrenia is a severe form of schizophrenia characterized by poor response to at least two antipsychotic drugs and is typically treated with clozapine. However, clozapine lowers the epileptic threshold, leading to seizures, which are severe side effects of antipsychotics that result in multiple complications. Clozapine-related seizures are generally considered to be dose-dependent and especially rare in the low-dose (150-300 mg/d) clozapine treated population. Due to clinical rarity, little is known about its clinical characteristics and treatment. CASE SUMMARY: A 62-year-old Chinese man with a 40-year history of treatment-resistant schizophrenia presented to the Emergency Department with symptoms of myoclonus, consciousness disturbance and vomiting after taking 125 mg clozapine. Upon admission, the patient had a suddenly generalized tonic-clonic seizure lasting for about half a minute with persistent disturbance of consciousness, fever, cough and bloody sputum, which was considered to be low-dose clozapine-related seizure. After antiepileptic and multiple anti-infection treatments, the patient was discharged without epileptic or psychotic symptoms. CONCLUSION: Our aim is to highlight the early prevention and optimal treatment of clozapine-related seizure through case analysis and literature review. |
format | Online Article Text |
id | pubmed-8281419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-82814192021-07-23 Low-dose clozapine-related seizure: A case report and literature review Le, Dan-Sheng Su, Heng Liao, Zheng-Luan Yu, En-Yan World J Clin Cases Case Report BACKGROUND: Treatment-resistant schizophrenia is a severe form of schizophrenia characterized by poor response to at least two antipsychotic drugs and is typically treated with clozapine. However, clozapine lowers the epileptic threshold, leading to seizures, which are severe side effects of antipsychotics that result in multiple complications. Clozapine-related seizures are generally considered to be dose-dependent and especially rare in the low-dose (150-300 mg/d) clozapine treated population. Due to clinical rarity, little is known about its clinical characteristics and treatment. CASE SUMMARY: A 62-year-old Chinese man with a 40-year history of treatment-resistant schizophrenia presented to the Emergency Department with symptoms of myoclonus, consciousness disturbance and vomiting after taking 125 mg clozapine. Upon admission, the patient had a suddenly generalized tonic-clonic seizure lasting for about half a minute with persistent disturbance of consciousness, fever, cough and bloody sputum, which was considered to be low-dose clozapine-related seizure. After antiepileptic and multiple anti-infection treatments, the patient was discharged without epileptic or psychotic symptoms. CONCLUSION: Our aim is to highlight the early prevention and optimal treatment of clozapine-related seizure through case analysis and literature review. Baishideng Publishing Group Inc 2021-07-16 2021-07-16 /pmc/articles/PMC8281419/ /pubmed/34307616 http://dx.doi.org/10.12998/wjcc.v9.i20.5611 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Le, Dan-Sheng Su, Heng Liao, Zheng-Luan Yu, En-Yan Low-dose clozapine-related seizure: A case report and literature review |
title | Low-dose clozapine-related seizure: A case report and literature review |
title_full | Low-dose clozapine-related seizure: A case report and literature review |
title_fullStr | Low-dose clozapine-related seizure: A case report and literature review |
title_full_unstemmed | Low-dose clozapine-related seizure: A case report and literature review |
title_short | Low-dose clozapine-related seizure: A case report and literature review |
title_sort | low-dose clozapine-related seizure: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281419/ https://www.ncbi.nlm.nih.gov/pubmed/34307616 http://dx.doi.org/10.12998/wjcc.v9.i20.5611 |
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