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Lithium-Induced Downbeat Nystagmus and Horizontal Gaze Palsy
Jesper Skovlund Jørgensen1, Lisbeth Landschoff Lassen2, Marianne Wegener1
1Department of Ophthalmology, Rigshospitalet-Glostrup, Copenhagen, Denmark.
Abstract:
We report a case of lithium-induced downbeat nystagmus and horizontal gaze palsy in a 62-year-old woman who was treated for a bipolar affective disorder with lithium carbonate for one month. At presentation serum lithium was within therapeutic range. No alternative causes of the ocular motility disturbances were found, and the patient improved significantly as lithium carbonate was discontinued.
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