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Rehabilitation Practice and Science

Translated Title

自發性脊髓硬膜上血腫患者服用gabapentin後造成舞蹈手指徐動症：病例報告

Abstract

Spontaneous spinal epidural hematoma (SSEH) is attributed to a spinal epidural hematoma which is not caused by incidental, traumatic, or iatrogenic (for example, lumbar puncture) procedures. SSEH is an uncommon condition causing spinal cord lesion and subsequent neurologic deficits. Spinal cord pathology is often followed by neuropathic pain which may be treated with a combination of drug regimens, such as gabapentin, tricyclic antidepressants, topic lidocaine, opioids and serotoninnorepinephrine reuptake inhibitor. We present a case of SSEH with neuropathic pain that was treated with gabapentin, morphine and imipramine. The patient developed choreoathetosis temporally related to adjunctive therapy with gabapentin at dosages of 1200 mg per day. We discontinued the gabapentin treatment and choreoathetosis decreased gradually the next day and disappeared 5 days later. To the best of our knowledge, this is the first case of spinal cord pathology developing involuntary movements due to the side effects of gabapentin therapy for neuropathic pain.

Language

Traditional Chinese

First Page

179

Last Page

185

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