北三角线诱导的房间倾斜幻觉
Bernard A Sarmiento1, Rojan Varghese2, Richa Vijayvargia3
1College of Medicine, University of Central Florida, Orlando, USA.
Cureus
|February 12, 2024
概括
房间倾斜幻觉 (RTI) 是一种罕见的感知障碍,在一个使用诺特林治疗抑郁症的患者身上观察到. 在停止服用药物后,幻觉消失了,这表明药物诱导的潜在副作用.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 眼科医生 眼科 眼科
背景情况:
- 房间倾斜幻觉 (RTI) 是一种罕见的感知障碍,周围的环境似乎旋转.
- RTI通常与前体疾病和神经病变有关.
- 药物使用与RTI之间的联系尚未得到充分证实.
研究的目的:
- 报告与nortriptyline使用相关的第一个已知的RTI病例.
- 调查nortriptyline在诱导知觉障碍方面的潜力.
- 强调在诊断RTI时考虑药物的副作用的重要性.
主要方法:
- 病例报告详细介绍了一个患有RTI的患者.
- 对药物史的分析,特别是nortriptyline.
- 药物戒断后症状消失的观察.
主要成果:
- 一名患者在开始治疗治疗不耐药抑郁症的nortriptyline六天后发生了RTI.
- 在停止服用nortriptyline后,RTI症状完全消失.
- 这是唯一报告的与nortriptyline使用相关的RTI案例.
结论:
- 诺特利普提林可能会诱导房间倾斜幻觉,这是一个罕见的感知副作用.
- 该机制可能涉及三环抗抑郁药,影响前庭 - 甲状腺 - 皮质系统和视觉 - 前庭整合.
- 临床医生应考虑nortriptyline作为RTI的潜在原因,特别是在患有并发症的老年患者中.
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