Phenytoin toxicity with mandibular tremor secondary to intravenous administration.
The parenteral form of phenytoin is the most commonly used antiepileptic agent during the perioperative period in neurosurgery clinics. We report observations in a 52-year-old male patient with hypoalbuminemia and phenytoin intoxicity following 1 day preoperative administration and a 7-day postoperative intravenous administration of the drug with no modification of the oral dose. This report emphasizes the need for careful surveillance of phenytoin-induced toxicity during parenteral therapy, especially in debilitated patients.
Türkdogan
D
D
Institute of Neurological Sciences, University of Marmara, Maltepe, Istanbul, Turkey.
Onat
F
F
Türe
U
U
Pamir
N
N
D000927:Anticonvulsants / Q000008:administration & dosage* / Q000009:adverse effects* / Q000097:blood; D017029:Epilepsy, Complex Partial / Q000188:drug therapy; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D010672:Phenytoin / Q000008:administration & dosage* / Q000009:adverse effects* / Q000097:blood; D014202:Tremor / Q000139:chemically induced*
D000927:Anticonvulsants; D010672:Phenytoin