Ping-pong gaze secondary to monoamine oxidase inhibitor overdose

被引：5

作者：

Attaway, Amy ^{[1
]}

Sroujieh, Laila ^{[2
]}

Mersfelder, Tracey L. ^{[4
]}

Butler, Christopher ^{[3
]}

Ouellette, Daniel ^{[3
]}

机构：

[1] Case Western Reserve Univ, Univ Hosp, Dept Pulm Crit Care, Cleveland, OH 44106 USA

[2] Metrohlth Med Ctr, Dept Pulm Crit Care, Cleveland, OH USA

[3] Henry Ford Hlth Syst, Pulm Crit Care, Detroit, MI USA

[4] Ferris State Univ, Borgess Hosp, Dept Pharm, Kalamazoo, MI USA

来源：

JOURNAL OF PHARMACOLOGY & PHARMACOTHERAPEUTICS | 2016年 / 7卷 / 01期

关键词：

Monoamine oxidase inhibitor toxicity; phenelzine; ping pong gaze; short-cycle periodic alternating gaze;

D O I：

10.4103/0976-500X.179360

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

An infrequent manifestation of monoamine oxidase inhibitor (MAOI) toxicity is "ping-pong gaze" (PPG). We describe the case of a 26-year-old female who was found unresponsive after taking 40 tablets of phenelzine. On presentation to the hospital, her eyes were moving in characteristic "ping pong" fashion. After 6 hours her gaze terminated. The following day her neurologic exam was benign and she had no long-term sequelae. While the etiology of PPG is unknown, it is most often seen with irreversible structural brain damage. However, a detailed literature review revealed that previous cases of MAOI toxicity where the patient survived have all had complete neurologic recovery.

引用

页码：34 / 37

页数：4

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