title: Marked mydriasis and neuritis nervi optici associated with galactorrhea following citalopram treatment: a case report and discussion.
abstract: We report the case of a 25-year-old women suffering from major depression who was treated with citalopram for several weeks with doses between 20 mg and 60 mg. She gradually developed marked mydriasis within 2 months after treatment and subsequently neuritis nervi optici. Moreover, abrupt galactorrhea occurred after 2 months of treatment. All neuro-ophthalmological, neurophysiological, clinical laboratory, and neuroradiological diagnostic efforts did not reveal an underlying organic pathophysiology. The ocular symptoms disappeared rapidly after the discontinuation of citalopram and pulse therapy with methyl-prednisolone. However, galactorrhea persisted for a few weeks necessitating treatment with bromocriptine.
authors.affiliation: Department of Psychiatry and Psychotherapy, HELIOS Clinic Aue, D-08280 Aue, Germany.
authors.forename: Horst J
authors.initials: HJ
authors.lastname: Koch
authors.forename: Heike
authors.initials: H
authors.lastname: Zellmer