An Interesting Case of Barbiturate Automatism and Review of Literature
Joint Authors
Gokhale, Sankalp
Ramos-Estebanez, Ciro
Source
Case Reports in Neurological Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-13
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
A 48 year old man with a diagnosis of HIV infection since 1993, on highly active anti-retro viral therapy (HAART) with stable CD4 count and undetectable viral load for years and seizure disorder presented with recurrent drowsiness.
His seizures were well controlled on phenobarbitone for years.
Repeated laboratory evaluation demonstrated toxic levels of phenobarbitone in his blood.
A thorough clinical, psychiatric, laboratory and imaging evaluation did not reveal any obvious etiology for the recurrent barbiturate intoxication in this man.
Our findings suggest the possible diagnosis of barbiturate drug automatism in this patient.
Though drug automatism is a controversial entity, it merits continued attention.
There are recent reports of similar phenomenon with newer sedative agents such as Zolpidem.
It is important to be aware of this phenomenon as a possible explanation for recurrent intoxication with barbiturates without a clear etiology for drug overdose.
American Psychological Association (APA)
Gokhale, Sankalp& Ramos-Estebanez, Ciro. 2013. An Interesting Case of Barbiturate Automatism and Review of Literature. Case Reports in Neurological Medicine،Vol. 2013, no. 2013, pp.1-2.
https://search.emarefa.net/detail/BIM-492595
Modern Language Association (MLA)
Gokhale, Sankalp& Ramos-Estebanez, Ciro. An Interesting Case of Barbiturate Automatism and Review of Literature. Case Reports in Neurological Medicine No. 2013 (2013), pp.1-2.
https://search.emarefa.net/detail/BIM-492595
American Medical Association (AMA)
Gokhale, Sankalp& Ramos-Estebanez, Ciro. An Interesting Case of Barbiturate Automatism and Review of Literature. Case Reports in Neurological Medicine. 2013. Vol. 2013, no. 2013, pp.1-2.
https://search.emarefa.net/detail/BIM-492595
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492595