Syndrome of Irreversible Lithium-Effectuated NeuroToxicity
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907 |
Resumo: | Lithium has a narrow therapeutic window. Frequent monitoring of both serum levels and clinical signs of toxicity is warranted because toxicity may be present even when concentrations are within the therapeutic range. We report the case of a man with lithium poisoning, with persistent neurologic signs and symptoms even after removal of lithium from circulation – a diagnosis of syndrome of irreversible lithium-effectuated neurotoxicity (SILENT) was made. |
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Syndrome of Irreversible Lithium-Effectuated NeuroToxicitySíndrome de Neurotoxicidade Irreversível Causada por LítioLithium/adverse effectsNeurotoxicity Syndromes/etiologyLítio/efeitos adversosSíndromes de Neurotoxicidade/etiologiaLithium has a narrow therapeutic window. Frequent monitoring of both serum levels and clinical signs of toxicity is warranted because toxicity may be present even when concentrations are within the therapeutic range. We report the case of a man with lithium poisoning, with persistent neurologic signs and symptoms even after removal of lithium from circulation – a diagnosis of syndrome of irreversible lithium-effectuated neurotoxicity (SILENT) was made.O lítio é um fármaco com janela terapêutica estreita, exigindo monitorização frequente dos seus níveis séricos e da clínica, pois a toxicidade pode surgir mesmo com níveis terapêuticos. Apresentamos o caso de um homem com intoxicação por lítio, com persistência de alterações neurológicas mesmo após normalização dos seus níveis séricos, permitindo-nos fazer o diagnóstico de síndrome de neurotoxicidade irreversível causada pelo lítio (SILENT).Ordem dos Médicos2017-02-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/octet-streamapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907oai:ojs.www.actamedicaportuguesa.com:article/7907Acta Médica Portuguesa; Vol. 30 No. 2 (2017): February; 151-153Acta Médica Portuguesa; Vol. 30 N.º 2 (2017): Fevereiro; 151-1531646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/4943https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8535https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8567https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8672https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8695Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessSilva, Ana LuísaOurique, CarolinaMartins, FilipeFriões, Fernando2022-12-20T11:05:21Zoai:ojs.www.actamedicaportuguesa.com:article/7907Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:30.866287Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity Síndrome de Neurotoxicidade Irreversível Causada por Lítio |
title |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity |
spellingShingle |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity Silva, Ana Luísa Lithium/adverse effects Neurotoxicity Syndromes/etiology Lítio/efeitos adversos Síndromes de Neurotoxicidade/etiologia |
title_short |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity |
title_full |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity |
title_fullStr |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity |
title_full_unstemmed |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity |
title_sort |
Syndrome of Irreversible Lithium-Effectuated NeuroToxicity |
author |
Silva, Ana Luísa |
author_facet |
Silva, Ana Luísa Ourique, Carolina Martins, Filipe Friões, Fernando |
author_role |
author |
author2 |
Ourique, Carolina Martins, Filipe Friões, Fernando |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Silva, Ana Luísa Ourique, Carolina Martins, Filipe Friões, Fernando |
dc.subject.por.fl_str_mv |
Lithium/adverse effects Neurotoxicity Syndromes/etiology Lítio/efeitos adversos Síndromes de Neurotoxicidade/etiologia |
topic |
Lithium/adverse effects Neurotoxicity Syndromes/etiology Lítio/efeitos adversos Síndromes de Neurotoxicidade/etiologia |
description |
Lithium has a narrow therapeutic window. Frequent monitoring of both serum levels and clinical signs of toxicity is warranted because toxicity may be present even when concentrations are within the therapeutic range. We report the case of a man with lithium poisoning, with persistent neurologic signs and symptoms even after removal of lithium from circulation – a diagnosis of syndrome of irreversible lithium-effectuated neurotoxicity (SILENT) was made. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-02-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907 oai:ojs.www.actamedicaportuguesa.com:article/7907 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7907 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/4943 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8535 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8567 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8672 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7907/8695 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/octet-stream application/pdf application/msword application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 2 (2017): February; 151-153 Acta Médica Portuguesa; Vol. 30 N.º 2 (2017): Fevereiro; 151-153 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130645840003072 |