Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline

This case serves as a reminder of the infrequent, yet consequential occurrence of cerebellar degeneration linked to phenytoin usage. Whilst emphasizes the importance of monitoring patients on long-term phenytoin therapy, and it further suggests considering employing bedside imaging tools such as Ult...

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Main Authors: Edwin Mogere, Davis Cheruiyot, Manakhe Nassiuma
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323008099
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author Edwin Mogere
Davis Cheruiyot
Manakhe Nassiuma
author_facet Edwin Mogere
Davis Cheruiyot
Manakhe Nassiuma
author_sort Edwin Mogere
collection DOAJ
description This case serves as a reminder of the infrequent, yet consequential occurrence of cerebellar degeneration linked to phenytoin usage. Whilst emphasizes the importance of monitoring patients on long-term phenytoin therapy, and it further suggests considering employing bedside imaging tools such as Ultrasound fusion imaging for follow-up of patients at risk of this type of disorder. We present a case study involving a 23-year-old woman who experienced significant neurological impairment resulting in severe cerebellar atrophy while undergoing phenytoin treatment. On cessation of phenytoin, the patient exhibited improvement with enhanced cerebellar function.
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spelling doaj.art-61966f0fb1da401483efb545f75e18c02023-11-25T04:47:38ZengElsevierRadiology Case Reports1930-04332024-01-01191442444Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological declineEdwin Mogere0Davis Cheruiyot1Manakhe Nassiuma2Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Nairobi, Kenya; Corresponding author.Department of Neurosurgery, Moi Teaching and Referral Hospital, Eldoret, KenyaSection of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Nairobi, KenyaThis case serves as a reminder of the infrequent, yet consequential occurrence of cerebellar degeneration linked to phenytoin usage. Whilst emphasizes the importance of monitoring patients on long-term phenytoin therapy, and it further suggests considering employing bedside imaging tools such as Ultrasound fusion imaging for follow-up of patients at risk of this type of disorder. We present a case study involving a 23-year-old woman who experienced significant neurological impairment resulting in severe cerebellar atrophy while undergoing phenytoin treatment. On cessation of phenytoin, the patient exhibited improvement with enhanced cerebellar function.http://www.sciencedirect.com/science/article/pii/S1930043323008099AnticonvulsantAtaxiaApoptosisDrug-Related side effects and adverse reactionsNystagmusPathologic
spellingShingle Edwin Mogere
Davis Cheruiyot
Manakhe Nassiuma
Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline
Radiology Case Reports
Anticonvulsant
Ataxia
Apoptosis
Drug-Related side effects and adverse reactions
Nystagmus
Pathologic
title Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline
title_full Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline
title_fullStr Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline
title_full_unstemmed Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline
title_short Phenytoin-induced cerebellar atrophy: A case for reversibility of neurological decline
title_sort phenytoin induced cerebellar atrophy a case for reversibility of neurological decline
topic Anticonvulsant
Ataxia
Apoptosis
Drug-Related side effects and adverse reactions
Nystagmus
Pathologic
url http://www.sciencedirect.com/science/article/pii/S1930043323008099
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AT manakhenassiuma phenytoininducedcerebellaratrophyacaseforreversibilityofneurologicaldecline