Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report

Carbon monoxide (CO) poisoning causes severe brain damage, including delayed neuropsychiatric sequelae (DNS), which occur after a lucid interval following recovery from the insult of acute CO poisoning. We describe a 39-year-old male who developed DNS, including gait disturbance, trunk ataxia, and f...

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Main Authors: Tomosuke Nakano, Toshiki Hasegawa, Dai Suzuki, Eishi Motomura, Motohiro Okada
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/9/11/292
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author Tomosuke Nakano
Toshiki Hasegawa
Dai Suzuki
Eishi Motomura
Motohiro Okada
author_facet Tomosuke Nakano
Toshiki Hasegawa
Dai Suzuki
Eishi Motomura
Motohiro Okada
author_sort Tomosuke Nakano
collection DOAJ
description Carbon monoxide (CO) poisoning causes severe brain damage, including delayed neuropsychiatric sequelae (DNS), which occur after a lucid interval following recovery from the insult of acute CO poisoning. We describe a 39-year-old male who developed DNS, including gait disturbance, trunk ataxia, and fecal/urine incontinence, after remission of acute CO poisoning. Furthermore, he showed confusion, with disorientation in terms of time and space. All symptoms, including cognitive impairment, were dramatically improved by amantadine monotherapy. The present case illustrates the possibility of amantadine treatment for cognitive impairment as well as Parkinsonism induced by CO poisoning.
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spelling doaj.art-c43d8a38acd2487bb66e7b8b7e7089a02022-12-21T23:06:17ZengMDPI AGBrain Sciences2076-34252019-10-0191129210.3390/brainsci9110292brainsci9110292Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case ReportTomosuke Nakano0Toshiki Hasegawa1Dai Suzuki2Eishi Motomura3Motohiro Okada4Department of Neuropsychiatry, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Neuropsychiatry, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Neuropsychiatry, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Neuropsychiatry, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Neuropsychiatry, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, JapanCarbon monoxide (CO) poisoning causes severe brain damage, including delayed neuropsychiatric sequelae (DNS), which occur after a lucid interval following recovery from the insult of acute CO poisoning. We describe a 39-year-old male who developed DNS, including gait disturbance, trunk ataxia, and fecal/urine incontinence, after remission of acute CO poisoning. Furthermore, he showed confusion, with disorientation in terms of time and space. All symptoms, including cognitive impairment, were dramatically improved by amantadine monotherapy. The present case illustrates the possibility of amantadine treatment for cognitive impairment as well as Parkinsonism induced by CO poisoning.https://www.mdpi.com/2076-3425/9/11/292amantadinecarbon monoxide poisoningdelayed neuropsychiatric sequelaenmda-r antagonist
spellingShingle Tomosuke Nakano
Toshiki Hasegawa
Dai Suzuki
Eishi Motomura
Motohiro Okada
Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report
Brain Sciences
amantadine
carbon monoxide poisoning
delayed neuropsychiatric sequelae
nmda-r antagonist
title Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report
title_full Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report
title_fullStr Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report
title_full_unstemmed Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report
title_short Amantadine Improves Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning: A Case Report
title_sort amantadine improves delayed neuropsychiatric sequelae of carbon monoxide poisoning a case report
topic amantadine
carbon monoxide poisoning
delayed neuropsychiatric sequelae
nmda-r antagonist
url https://www.mdpi.com/2076-3425/9/11/292
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