Organic Mania Induced by Phenytoin: A Case Report*

1989 ◽  
Vol 34 (8) ◽  
pp. 827-828 ◽  
Author(s):  
S.B. Patten ◽  
G.M. Klein ◽  
C. Lussier ◽  
R. Sawa
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Temporal Lobe Epilepsy ◽  
Mood Disorder ◽  
Mental State ◽  
Clinical Picture ◽  
Manic Episode ◽  
Baclofen Withdrawal ◽  
Organic Factor ◽  
State Score

Organic Mood Disorder of the manic type is a syndrome which resembles a manic episode but is due to a specific organic factor. Organic mania may be associated with a variety of physical illnesses such as temporal lobe epilepsy, multiple sclerosis, neoplasms and hyperthyroidism. In addition, organic mania can be associated with drugs including L-dopa, decongestants, sympathomimetics, steroids, baclofen withdrawal, cimetidine, and possibly captopril. This report describes a case of a 74 year old female who presented with a full syndrome of mania soon after being started on Phenytoin. Neither the clinical picture, Mini-mental state score, nor EEG findings were suggestive of delirium. The syndrome resolved soon after the phenytoin was discontinued. This case suggests that phenytoin should be added to the list of medications capable of producing Organic Mood Syndrome, manic type.

Epilepsia partialis continua as a first symptom of multiple sclerosis: electrophysiological study of one case

2003 ◽  
Vol 9 (2) ◽  
pp. 199-203 ◽  
Author(s):  
P Striano ◽  
S Striano ◽  
P B Carrieri ◽  
P Boccella
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
General Population ◽  
Male Patient ◽  
Clinical Picture ◽  
Electrophysiological Study ◽  
Epilepsia Partialis Continua ◽  
Neurophysiological Study

Rationale: The prevalence of epilepsy in people with multiple sclerosis (MS) is higher than in the general population. Sometimes seizures are among the first symptoms and can be unusual in their semiology. In rare cases a long-lasting focal somatomotor status {i.e., epilepsia partialis continua (EPC)} has been reported. Case report: A 21-year-o ld male patient presented with a clinical picture of EPC as a first symptom of MS at age of 19. A neurophysiological study agreed with a cortical origin of myoclonic jerks. Conclusions: MS should be considered a rare but possible aetiology of EPC in adults.

Case Report: Patient with POLG Mutation with the Clinical Picture of a Myocerebrohepatopathy Syndrome

2015 ◽  
Vol 46 (S 01) ◽  
Author(s):  
J. Spiegler ◽  
Y. Hellenbroich ◽  
U. Ahting ◽  
P. Freisinger
Keyword(s):  
Case Report ◽  
Clinical Picture ◽  
Polg Mutation

Diagnostic confusion in paediatric respiratory pathology. Case report

ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 48-50
Author(s):  
Adina A. Zamfir-Chiru-Anton ◽  
D.C. Gheorghe
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Clinical Picture ◽  
Foreign Body Aspiration ◽  
Effective Therapy ◽  
Partial Loss ◽  
Detailed History ◽  
Therapy Approach ◽  
Diagnostic Confusion ◽  
Respiratory Pathology

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.

scholarly journals COVID-19 in teriflunomide-treated patients with multiple sclerosis: a case report and literature review.

2021 ◽  
pp. 102734
Author(s):  
Fioravante Capone ◽  
Francesco Motolese ◽  
Tiziano Luce ◽  
Mariagrazia Rossi ◽  
Alessandro Magliozzi ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Literature Review

scholarly journals Spermatorrhea in a Chinese patient with temporal lobe epilepsy: a case report

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen
Keyword(s):  
Erectile Dysfunction ◽  
Case Report ◽  
Sexual Dysfunction ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Neurological Disorder ◽  
Premature Ejaculation ◽  
Chinese Patient ◽  
Left Temporal Lobe ◽  
Rare Manifestation

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.

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