阿曼塔丁的毒性导致视觉幻觉
Jessica Marie Barbara1, Adrian Pace2
1Department of Medicine, Mater Dei Hospital, Msida, Malta jessica-marie.barbara@gov.mt.
Practical neurology
|July 7, 2023
概括
用于多发性硬化症疲劳的阿曼塔丁可以在患有功能障碍的患者中引起视觉幻觉. 减少阿曼塔丁的剂量或停止服用,在患有多发性硬化症的急性脏问题患者中消除了幻觉.
科学领域:
- 神经药理学神经药理学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 阿曼塔丁是一种具有多巴胺作用的NMDA受体激活剂,用于帕金森病的动力障碍和多发性硬化症 (MS) 疲劳.
- 脏分泌是阿曼塔丁消除的主要途径; 功能受损可以增加药物半衰期和毒性风险.
研究的目的:
- 在患有多发性硬化症和急性功能障碍的患者中报告阿曼塔丁诱导的视觉幻觉病例.
- 为了突出阿曼塔丁在功能受损的背景下毒性的潜力.
主要方法:
- 一个女性多发性硬化症患者接受阿曼塔丁治疗的案例报告.
- 临床观察与急性功能障碍一致的视觉幻觉.
- 在停止服用药物后评估症状的消失.
主要成果:
- 患者在阿曼塔丁治疗期间出现急性功能障碍.
- 佛罗里达视觉幻觉与功能障碍同时出现.
- 在停止使用阿曼塔丁后,幻觉完全消失.
结论:
- 急性功能障碍可能会导致阿曼塔丁毒性,表现为严重的视觉幻觉.
- 建议在给功能受损的患者开阿曼塔丁时谨慎使用.
- 在接受阿曼塔丁治疗的患者中,监测功能至关重要,以预防不良事件.
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