Vertigo, Ataxia and Nystagmus: Carbamazepine Intoxication

Abstract

Acute toxicity may be seen, and chronic toxicity may be seen in carbamazepine users and emergency services can be applied for these reasons. Neurological findings in the carbamazepine toxicity are the anterior plan. A case of 18-year-old man who was admitted to emergency service with dysbalance, dizziness and consciousness change and carbamazepine intoxication during follow-up and was treated with active charcoal and hemodialysis. Carbamazepine intoxication should be considered in patients who are taking carbamazepine and who are referred to emergency services with neurological symptoms. Active Charcoal and hemodialysis to be applied in the early period in the treatment can be very useful.

Özet

Akut toksisite görülebileceği gibi karbamazepin kullananlarda kronik toksisite görülebilmektedir ve bu nedenlerle acil servise başvuru olabilmektedir. Karbamazepin toksisitesinde nörolojik bulgular ön plandadır. Denge bozukluğu, baş dönmesi ve şuur değişikliği ile acil servise getirilen ve takip ve tedavi sırasında karbamazepin zehirlenmesi düşündüğümüz 18 yaşındaki bir olgu aktif kömür ve hemodiyaliz ile tedavi edilmiştir. Karbamazepin kullanan ve nörolojik semptomlarla acil servise başvuran hastalarda karbamazepin intoksikasyonu akla gelmelidir. Tedavisinde aktif kömür ve erken dönemde uygulanacak olan hemodiyaliz çok faydalı olabilmektedir.