Yıl: 2022 Cilt: 25 Sayı: 2 Sayfa Aralığı: 219 - 222 Metin Dili: İngilizce DOI: 10.5505/kpd.2022.48254 İndeks Tarihi: 05-06-2022

Myoclonic seizures induced by antipsychotic drugs: A case series and literature review

Öz:
Introduction: The true frequency of myoclonic seizures caused by antipsychotics is unknown. Myoclonus associated with clozapine and other antipsychotics has been shown less frequently than tonic-clonic seizures in the literature and the treatment protocol is controversial. In this study, we have compiled current literature data by presenting our clinical experiences in patients who developed myoclonic seizures with antipsychotic use. Case Series: The patients were followed up in the inpatient service of Gazi University Hospital, Department of Psychiatry between 2014-2019. Demographic data, clinical variables, imaging methods and response to treatment of 10 patients with myoclonic seizures were analyzed. After clinical evaluation, psychiatric diagnoses were clarified according to DSM-5. Psychotropic drugs and doses, EEG, MRI examinations and follow-up data were recorded in these patients with myoclonic seizures. While 6 of the patients (60%) were receiving clozapine treatment, other patients using olanzapine, amisulpride and quetiapine were seen as 2 (20%), 1 (10%) and 1 (10%), respectively. The mean chlorpromazine doseequivalent of the antipsychotics used by all 10 patients was 876.66 mg per day. In addition to antipsychotic change, valproic acid was used (most frequently) for the control of myoclonic seizures in 8 of the patients (80%), due to insufficient response. Conclusion: Myoclonic seizures may be misdiagnosed as sudden falls resulting from generalized tonic-clonic seizures, dyskinesia, and clozapine induced hypotension. In patients with myoclonic seizures, use of antipsychotic drugs should be kept in mind, especially in additional medical conditions such as renal failure, as well as direct central nervous system pathologies
Anahtar Kelime:

Antipsikotik ilaçların neden olduğu miyoklonik nöbetler: Bir olgu dizisi veliteratür incelemesi

Öz:
Giriş: Antipsikotiklerle oluşan miyoklonik nöbetlerin gerçek sıklığı bilinmemektedir. Klozapin ve diğer antipsikotiklerle ilişkili miyoklonus, literatürde tonik-klonik nöbetlere göre daha az sıklıkla gösterilmiş ve tedavi protokolü tartışmalıdır. Bu çalışmada antipsikotik kullanımı ile miyoklonik nöbet gelişen hastalarımızda klinik deneyimlerimizi sunarak güncel literatür verilerini derlemiş bulunmaktayız. Olgu Sunumları: Hastalar Gazi Üniversitesi Hastanesi Psikiyatri Anabilim Dalı’ nda 2014- 2019 yıllarında takip edilmiştir. Miyoklonik nöbetleri olan 10 hastanın demografik ve klinik verileri, görüntüleme yöntemleri ve tedavi yanıtları incelendi. Klinik değerlendirme sonrası DSM-5'e göre psikiyatrik tanıları netleştirildi. Miyoklonik nöbet görülen bu hastaların tedavilerinde yer alan psikotrop ilaçlar, dozları, EEG, MRG sonuçları ve takip verileri kaydedildi. Hastaların 6'sı (% 60) klozapin tedavisi alırken, olanzapin, amisülpirid ve ketiapin kullanan diğer hastalar sırasıyla 2(% 20), 1(% 10) ve 1(% 10) olarak görüldü. Kullanılan antipsikotiklerin ortalama klorpromazin doz eşdeğeri günde 876.66 mg olarak hesaplandı. Hastaların 8'inde (% 80) miyoklonik nöbetlerin kontrolü için antipsikotik değişimine ek olarak, yeterli cevap sağlanamaması nedenli, valproik asit (en sık olarak) kullanıldı. Sonuç: Miyoklonik nöbetler; jeneralize tonik-klonik nöbetler, diskinezi ve klozapine bağlı hipotansiyondan kaynaklanan ani düşmeler olarak yanlış tanı alabilmektedir. Miyoklonik nöbetleri olan hastalarda direkt santral sinir sistemi patolojilerinin yanı sıra -özellikle böbrek yetmezliği gibi ek tıbbi durumlarda- antipsikotik ilaç kullanımı akılda tutulmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA ALTIPARMAK T, YURTSEVEN Ç, Geniş B, COŞAR B (2022). Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. , 219 - 222. 10.5505/kpd.2022.48254
Chicago ALTIPARMAK TAYLAN,YURTSEVEN Çağatay Haşim,Geniş Bahadır,COŞAR Behçet Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. (2022): 219 - 222. 10.5505/kpd.2022.48254
MLA ALTIPARMAK TAYLAN,YURTSEVEN Çağatay Haşim,Geniş Bahadır,COŞAR Behçet Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. , 2022, ss.219 - 222. 10.5505/kpd.2022.48254
AMA ALTIPARMAK T,YURTSEVEN Ç,Geniş B,COŞAR B Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. . 2022; 219 - 222. 10.5505/kpd.2022.48254
Vancouver ALTIPARMAK T,YURTSEVEN Ç,Geniş B,COŞAR B Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. . 2022; 219 - 222. 10.5505/kpd.2022.48254
IEEE ALTIPARMAK T,YURTSEVEN Ç,Geniş B,COŞAR B "Myoclonic seizures induced by antipsychotic drugs: A case series and literature review." , ss.219 - 222, 2022. 10.5505/kpd.2022.48254
ISNAD ALTIPARMAK, TAYLAN vd. "Myoclonic seizures induced by antipsychotic drugs: A case series and literature review". (2022), 219-222. https://doi.org/10.5505/kpd.2022.48254
APA ALTIPARMAK T, YURTSEVEN Ç, Geniş B, COŞAR B (2022). Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. Klinik Psikiyatri Dergisi, 25(2), 219 - 222. 10.5505/kpd.2022.48254
Chicago ALTIPARMAK TAYLAN,YURTSEVEN Çağatay Haşim,Geniş Bahadır,COŞAR Behçet Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. Klinik Psikiyatri Dergisi 25, no.2 (2022): 219 - 222. 10.5505/kpd.2022.48254
MLA ALTIPARMAK TAYLAN,YURTSEVEN Çağatay Haşim,Geniş Bahadır,COŞAR Behçet Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. Klinik Psikiyatri Dergisi, vol.25, no.2, 2022, ss.219 - 222. 10.5505/kpd.2022.48254
AMA ALTIPARMAK T,YURTSEVEN Ç,Geniş B,COŞAR B Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. Klinik Psikiyatri Dergisi. 2022; 25(2): 219 - 222. 10.5505/kpd.2022.48254
Vancouver ALTIPARMAK T,YURTSEVEN Ç,Geniş B,COŞAR B Myoclonic seizures induced by antipsychotic drugs: A case series and literature review. Klinik Psikiyatri Dergisi. 2022; 25(2): 219 - 222. 10.5505/kpd.2022.48254
IEEE ALTIPARMAK T,YURTSEVEN Ç,Geniş B,COŞAR B "Myoclonic seizures induced by antipsychotic drugs: A case series and literature review." Klinik Psikiyatri Dergisi, 25, ss.219 - 222, 2022. 10.5505/kpd.2022.48254
ISNAD ALTIPARMAK, TAYLAN vd. "Myoclonic seizures induced by antipsychotic drugs: A case series and literature review". Klinik Psikiyatri Dergisi 25/2 (2022), 219-222. https://doi.org/10.5505/kpd.2022.48254