Fixed, dilated pupils in the ICU: another recoverable cause.
A 41-year-old woman presented unconscious with fixed dilated pupils following a massive overdose of carbamazepine and an unknown quantity of venlafaxine prescribed for the management of bipolar affective disorder. Her course in the intensive care unit was marked by a number of complications related to the overdose including prolonged coma, seizures and cardiac arrest. The patient eventually recovered to leave hospital.
Cordova
S
S
Intensive Care Unit, Royal North Shore Hospital, Sydney, New South Wales.
Lee
R
R
D000328:Adult; D000927:Anticonvulsants / Q000506:poisoning*; D018687:Antidepressive Agents, Second-Generation / Q000506:poisoning*; D002220:Carbamazepine / Q000506:poisoning*; D003128:Coma / Q000139:chemically induced; D003511:Cyclohexanols / Q000506:poisoning*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D011681:Pupil Disorders / Q000139:chemically induced; D000069470:Venlafaxine Hydrochloride
D000927:Anticonvulsants; D018687:Antidepressive Agents, Second-Generation; D003511:Cyclohexanols; D002220:Carbamazepine; D000069470:Venlafaxine Hydrochloride