Perturbação psicótica aguda associada à vigabatrina.

Vigabatrin, a drug mainly used in the treatment of therapy-resistant epilepsy, has been associated to a large range of adverse effects, including acute psychotic disorders. The authors report the case of a 44-year-old patient with drug-resistant temporal lobe epilepsy that developed an acute psychot...

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Main Authors: M Xavier, M S Bento, D P Pereira, J M De Almeida
Format: Article
Language:English
Published: Ordem dos Médicos 2000-06-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1772
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author M Xavier
M S Bento
D P Pereira
J M De Almeida
author_facet M Xavier
M S Bento
D P Pereira
J M De Almeida
author_sort M Xavier
collection DOAJ
description Vigabatrin, a drug mainly used in the treatment of therapy-resistant epilepsy, has been associated to a large range of adverse effects, including acute psychotic disorders. The authors report the case of a 44-year-old patient with drug-resistant temporal lobe epilepsy that developed an acute psychotic episode about three weeks after initiating medication with vigabatrin. After the withdrawal of vigabatrin and the addition of an antipsychotic drug, the clinical picture improved promptly and the patient was discharged within a short period of time. The authors discuss the patient's diagnosis, the possible mechanisms of vigabatrin-associated psychosis and the therapeutic approach, stressing the questions that concern vigabatrin prescription and withdrawal.
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spelling doaj.art-d36dc1e1e7c84f3b9f440c01fecc32e32022-12-22T03:30:30ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582000-06-0113310.20344/amp.1772Perturbação psicótica aguda associada à vigabatrina.M Xavier0M S BentoD P PereiraJ M De AlmeidaClínica Universitária da Faculdade de Ciências Médicas de Lisboa.Vigabatrin, a drug mainly used in the treatment of therapy-resistant epilepsy, has been associated to a large range of adverse effects, including acute psychotic disorders. The authors report the case of a 44-year-old patient with drug-resistant temporal lobe epilepsy that developed an acute psychotic episode about three weeks after initiating medication with vigabatrin. After the withdrawal of vigabatrin and the addition of an antipsychotic drug, the clinical picture improved promptly and the patient was discharged within a short period of time. The authors discuss the patient's diagnosis, the possible mechanisms of vigabatrin-associated psychosis and the therapeutic approach, stressing the questions that concern vigabatrin prescription and withdrawal.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1772
spellingShingle M Xavier
M S Bento
D P Pereira
J M De Almeida
Perturbação psicótica aguda associada à vigabatrina.
Acta Médica Portuguesa
title Perturbação psicótica aguda associada à vigabatrina.
title_full Perturbação psicótica aguda associada à vigabatrina.
title_fullStr Perturbação psicótica aguda associada à vigabatrina.
title_full_unstemmed Perturbação psicótica aguda associada à vigabatrina.
title_short Perturbação psicótica aguda associada à vigabatrina.
title_sort perturbacao psicotica aguda associada a vigabatrina
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1772
work_keys_str_mv AT mxavier perturbacaopsicoticaagudaassociadaavigabatrina
AT msbento perturbacaopsicoticaagudaassociadaavigabatrina
AT dppereira perturbacaopsicoticaagudaassociadaavigabatrina
AT jmdealmeida perturbacaopsicoticaagudaassociadaavigabatrina