1990
DOI: 10.1002/mus.880130306
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Polyneuropathy in lithium intoxication

Abstract: Two patients developed acute sensorimotor polyneuropathy after intoxication with lithium carbonate. Nerve conduction studies, electromyography, and sural nerve biopsy proved it to be an axonal neuropathy. Recovery of muscle strength, reflexes, and sensory function started weeks after discontinuation of lithium therapy. One patient fully recovered within a year. In the literature we found nine other cases of lithium polyneuropathy.

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Cited by 16 publications
(3 citation statements)
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“…Ibudilast, a phosphodiesterase inhibitor, is used to treat bronchial asthma [137]. Considering the successful administration in several cases of sensory-motor neuropathy [138140]. Beneficial effects of ibudilast treatment in rat models of neuropathic pain were also reported [141, 142].…”
Section: Ncs-1 In Disorders and Diseasesmentioning
confidence: 99%
“…Ibudilast, a phosphodiesterase inhibitor, is used to treat bronchial asthma [137]. Considering the successful administration in several cases of sensory-motor neuropathy [138140]. Beneficial effects of ibudilast treatment in rat models of neuropathic pain were also reported [141, 142].…”
Section: Ncs-1 In Disorders and Diseasesmentioning
confidence: 99%
“…Acute denervation activity with larger motor units and higher fiber density later on, together with only moderately slowed nerve conduction velocities indicate axonal neuropathy. [ 3 6 ] A possible mechanism of lithium-induced neuropathy would be an intracellular accumulation of lithium and interference with the propagation of action potentials. [ 7 ] Lithium-induced neuropathy should be distinguished from neurological features associated with lithium intoxication.…”
Section: Discussionmentioning
confidence: 99%
“…[ 2 ] Most cases of polyneuropathy were reported with lithium intoxication. [ 3 4 ] Very few cases of peripheral nervous system damage secondary to lithium (with normal serum lithium levels) are reported. [ 5 ] We present a case of motor neuropathy due to the use of lithium in a 26-year-old male with a therapeutic lithium level.…”
Section: Introductionmentioning
confidence: 99%