Delirium and extrapyramidal symptoms due to a lithium-olanzapine combination therapy: A case report

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TUĞLU C., ERDOĞAN E., ABAY E.

Journal of Korean Medical Science, cilt.20, sa.4, ss.691-694, 2005 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 4
  • Basım Tarihi: 2005
  • Doi Numarası: 10.3346/jkms.2005.20.4.691
  • Dergi Adı: Journal of Korean Medical Science
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.691-694
  • Anahtar Kelimeler: Antipsychotic Agents, Delirium, Drug Toxicity, Lithium, Neuroleptic, Neurologic Manifestations, Olanzapine
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Trakya Üniversitesi Adresli: Evet

Özet

We report an elderly patient who developed severe delirium and extrapyramidal signs after initiation of lithium-olanzapine combination. On hospital admission, serum levels of lithium were found to be 3.0 mM/L which were far above toxic level. Immediate discontinuation of both drugs resulted in complete resolution of most of the symptoms except for perioral dyskinesia which persisted for three more months. We critically discussed the differential diagnosis of lithium intoxication and assessed confounding factors which induce delirium and extrapyramidal signs related with combination therapy of lithium and olanzapine. Copyright © The Korean Academy of Medical Sciences.