Neural and Neuromuscular Side-Effects of Lithium

Tyrer, Stephen; Shopsin, Baron

doi:10.1007/978-94-011-7197-7_34

Cited by 18 publications

(6 citation statements)

References 41 publications

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“…79 Non-toxic lithium tremor can occur acutely within the first week of starting therapy, 80 or may develop within weeks 81 or months after starting the medication. 78 Valproate can cause a fine, 6-9 Hz rhythmic postural tremor, similar to the action tremor, which can occur with tricyclic antidepressants, and can mimic ET. 71 Treatment with propranolol can be beneficial.…”

Section: Drug-induced Tremormentioning

confidence: 99%

Tremor: Clinical Phenomenology and Assessment Techniques

Hess

Pullman

2012

Tremor and Other Hyperkinetic Movements

102

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Background: Tremors are among the most common movement disorders. As there can be considerable variability in the manner in which clinicians assess tremor, objective quantitative tools such as electromyography, accelerometry, and computerized, spiral analysis can be very useful in establishing a clinical diagnosis and in research settings.Methods: In this review, we discuss the various methods of quantitative tremor analysis and the classification and pathogenesis of tremor. The most common pathologic tremors and an approach to the diagnosis of tremor etiology are described.Conclusions: Pathologic tremors are common, and the diagnosis of underlying etiology is not always straightforward. Computerized quantitative tremor analysis is a valuable adjunct to careful clinical evaluation in distinguishing tremulous diseases from physiologic tremors, and can also help shed light on their pathogenesis.

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Section: Drug-induced Tremormentioning

confidence: 99%

Tremor: Clinical Phenomenology and Assessment Techniques

Hess

Pullman

2012

Tremor and Other Hyperkinetic Movements

102

View full text Add to dashboard Cite

show abstract

“…79 Non-toxic lithium tremor can occur acutely within the first week of starting therapy, 80 or may develop within weeks 81 or months after starting the medication. 78 Valproate can cause a fine, 6–9 Hz rhythmic postural tremor, similar to the action tremor, which can occur with tricyclic antidepressants, and can mimic ET. 71 Treatment with propranolol can be beneficial.…”

Section: Drug-induced Tremormentioning

confidence: 99%

Tremor: Clinical Phenomenology and Assessment Techniques

Hess

Pullman

2012

Tremor and Other Hyperkinetic Movements

View full text Add to dashboard Cite

“…Among psychotropic agents, lithium is the drug with the narrowest therapeutic index (Cooper, 1980), and the characteristic manifestations of toxicity are wide ranging and well-recognised (British Medical Association and Royal Pharmaceutical Society of Great Britain, 1991). Lithium is known to affect most body systems, and has many neurotoxic effects (Tyrer and Shopsin, 1980), including acute organic brain syndromes or delirium © 1992 Rapid Communications of Oxford Ltd (Agulnik et ai., 1972). A case in which a combination of Capgras syndrome and delusional misidentification of surroundings arose in a patient with toxic lithium levels is now reported.…”

Section: Introductionmentioning

confidence: 99%