Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism
Key Clinical Message 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 n...
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| Veröffentlicht in: | Clinical case reports 2018-12, Vol.6 (12), p.2316-2318 |
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| creator | Finsterer, Josef Keller, Hans Reining‐Festa, Alice Enzelsberger, Barbara Weidinger, Franz |
| description | Key Clinical Message
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.
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. |
| doi_str_mv | 10.1002/ccr3.1870 |
| format | Article |
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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.
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.</description><identifier>ISSN: 2050-0904</identifier><identifier>EISSN: 2050-0904</identifier><identifier>DOI: 10.1002/ccr3.1870</identifier><identifier>PMID: 30564320</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>antiepileptic drugs ; Case Report ; Case Reports ; diphenyl‐hydantoin ; epilepsy ; movement disorder ; side effects</subject><ispartof>Clinical case reports, 2018-12, Vol.6 (12), p.2316-2318</ispartof><rights>2018 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4360-41d2659937b72ccfa1af3b7da72a2dbb794a5cfc60082831d68a19ed807d6e533</citedby><cites>FETCH-LOGICAL-c4360-41d2659937b72ccfa1af3b7da72a2dbb794a5cfc60082831d68a19ed807d6e533</cites><orcidid>0000-0003-2839-7305</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293133/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293133/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30564320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Finsterer, Josef</creatorcontrib><creatorcontrib>Keller, Hans</creatorcontrib><creatorcontrib>Reining‐Festa, Alice</creatorcontrib><creatorcontrib>Enzelsberger, Barbara</creatorcontrib><creatorcontrib>Weidinger, Franz</creatorcontrib><title>Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism</title><title>Clinical case reports</title><addtitle>Clin Case Rep</addtitle><description>Key Clinical Message
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.
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. 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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.
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.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>30564320</pmid><doi>10.1002/ccr3.1870</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0003-2839-7305</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | antiepileptic drugs Case Report Case Reports diphenyl‐hydantoin epilepsy movement disorder side effects |
| title | Phenytoin‐induced choreoathetosis after serial seizures due to traumatic brain injury and chronic alcoholism |
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