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Updated: Mar 2, 2026

A Protocol for Safe Lithiation Reactions Using Organolithium Reagents
Published on: November 12, 2016
[Syndrome of Irreversible Lithium-Effectuated NeuroToxicity]
Ana Luísa Silva1, Carolina Ourique1, Filipe Martins1
1Serviço de Medicina Interna. Centro Hospitalar de São João. Porto. Portugal.
Abstract:
Lithium has a narrow therapeutic window. Frequent monitoring of both serum levels and clinical signs of toxicity is warranted because toxicity may be present even when concentrations are within the therapeutic range. We report the case of a man with lithium poisoning, with persistent neurologic signs and symptoms even after removal of lithium from circulation - a diagnosis of syndrome of irreversible lithium-effectuated neurotoxicity (SILENT) was made.
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