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Published on: May 16, 2019
Gabapentin-induced Multifocal Myoclonus.
Lakshmi Priya1, Venkata A Alamanda2, Mahendra Javali3
1Assistant Professor, Department of Neurology, MS Ramaiah Medical College, Ramaiah University of Applied Sciences (RUAS), Bengaluru, Karnataka, India, Corresponding Author.
Gabapentin can cause multifocal myoclonus, a movement disorder, in elderly patients even with normal kidney function. This side effect resolves after discontinuing the medication.
Area of Science:
- Neurology
- Pharmacology
Background:
- Gabapentin is a common treatment for neuropathic pain.
- It is generally well-tolerated but can cause toxicity in some patients, particularly the elderly.
Observation:
- An elderly male with normal renal function was prescribed gabapentin for neuropathic pain.
- Within days of starting gabapentin, he developed widespread multifocal myoclonus.
Findings:
- The patient's multifocal myoclonus resolved completely after gabapentin was discontinued.
- This suggests a direct link between gabapentin use and the development of myoclonus.
Implications:
- Acute hyperkinetic movement disorders like myoclonus in the elderly necessitate a review of recent medications, especially gabapentin.
- Clinicians should consider gabapentin as a potential cause of myoclonus, even in patients with normal renal function.
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