Lithium Toxicity Misdiagnosed and treated as Parkinson’s disease
Received Date: Jan 13, 2018 / Accepted Date: Jan 25, 2018 / Published Date: Jan 30, 2018
Abstract
The mechanism of side effect of lithium is also poor understood but probably as a result of excessive effects at therapeutic sites. Tremor is frequently reported to be the most common movement side effects, severe Parkinsonism as a result of neurotoxicity has been reported though rarely.
We present a patient with subacute severe reversible Parkinsonism and acute delirium following long term lithium therapy, misdiagnosed and treated as a case of idiopathic Parkinson’s disease. Factors like advanced age and medications all increase the risk of toxicity.
It is pertinent to take this into consideration when prescribing lithium to prevent dangerous interactions as seen in this patient. Also, providers should understand the wide array of presentation of lithium toxicity to prevent misdiagnosis and unnecessary or harmful treatments.
Keywords: Lithium toxicity; Parkinson’s disease; Bipolar disorder; delirium
Citation: Aikoye SA, Parashar SD, Mann GS, Tinklepaugh NPM (2018) Lithium Toxicity Misdiagnosed and treated as Parkinson’s disease. Neurol Clin Therapeut J 2: 103.
Copyright: © 2018 Aikoye SA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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