Rationale: Clozapine is an atypical antipsychotic agent with proven efficacy in refractory schizophrenia, but its widespread use is limited by adverse effects such as agranulocytosis, seizures, sedation, weight gain, and sialorrhea. Clozapine-induced sialorrhea (CIS) is bothersome and has socially stigmatizing adverse effects, which result in poor treatment compliance. The pathophysiology of this condition is poorly understood and the treatment options available are based mostly on case reports and open-label studies. Objective: To review the available studies on CIS. Method: All relevant studies available through PUBMED search supplemented with manual search were undertaken. Result: The clinical features, complications, assessment, pathophysiology, and management of CIS are discussed. Conclusion: Although the studies evaluating the therapeutic options has limitations and no drug has been found to be superior, judicious use of pharmacological agents along with behavioral methods will reduce this troublesome side effect and enhance compliance.
The global workspace of consciousness was proposed in its elementary framework by Baars, in 1982. Since the time of inception, there have been many speculations and modifications of this theory, but the central theme has remained the same, which refers to the global availability of information in the brain. However, the present understanding about the origin of this global workspace or its mechanism of operation is still deficient. One of the less-studied candidates for this global workspace is the electromagnetic field of the brain. The present work is a brief review of the theoretical underpinnings of the Global workspace model, in terms of its theoretical framework and neuroimaging evidences. Subsequently, we turn towards another broad group of theories of consciousness, in the form of electromagnetic field theories. We then proceed to highlight some electromagnetic correlates derived from these theories for this global access phenomenon.
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