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Choreo-athetosis induced by phenytoin in an epileptic child. A case report

Insights

Phenytoin intoxication in a child with epilepsy caused choreo-athetosis. Symptoms resolved after discontinuing the drug, despite delayed normalization of serum phenytoin levels.

Area of Science:

  • Neurology
  • Pediatrics
  • Clinical Pharmacology

Background:

  • Epilepsy management in children requires careful drug titration.
  • Brain damage can alter drug metabolism and increase susceptibility to adverse effects.
  • Phenytoin is a common antiepileptic drug with a narrow therapeutic index.

Observation:

  • A 5-year-old child with epilepsy and brain damage presented with choreo-athetosis.
  • The child was receiving phenytoin at a dosage of 75 mg three times daily.
  • Serum phenytoin concentration was significantly elevated at 229 mmol/l, far exceeding the therapeutic range of 40-80 mmol/l.

Findings:

  • Elevated serum phenytoin levels confirmed drug intoxication.
  • Choreo-athetosis, a movement disorder, developed during phenytoin intoxication.
  • The movement disorder resolved within 4 weeks of discontinuing phenytoin.
  • Serum phenytoin levels normalized to the therapeutic range within 2 weeks of cessation.

Implications:

  • This case highlights the risk of phenytoin-induced movement disorders, particularly choreo-athetosis, in pediatric patients.
  • It underscores the importance of therapeutic drug monitoring for phenytoin to prevent toxicity.
  • Clinicians should consider drug-induced movement disorders in patients with epilepsy experiencing new-onset involuntary movements, especially during periods of altered drug levels.

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