title: [Severe atropine poisoning mimicking acute stroke].
abstract: BACKGROUND
  Atropine is a strong antagonist of muscarinic receptors widely used in various diseases because of its anticholinergic action.
  
  
  METHODS
  We report here a case of accidental poisoning due to ingestion of atropine eyes drops that caused severe neurologic disorders mimicking an acute stroke. Correct diagnosis was finally made by detecting atropine in the cerebrospinal fluid of the patient.
  
  
  CONCLUSIONS
  Atropinic poisoning can induce misleading neuropsychiatric disorders mimicking stroke. Therefore, this diagnosis should be considered in patients presenting an unexplained encephalopathy with anticholinergic manifestations, especially when bilateral mydriasis occurs.
authors.affiliation: Unité neurovasculaire, service de neurologie, hôpital d'instruction des armées Sainte-Anne, boulevard Saint-Anne, Toulon cedex 09, France. anthonyfa@wanadoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Faivre
authors.forename: C
authors.initials: C
authors.lastname: Mounier
authors.forename: T
authors.initials: T
authors.lastname: Gaillard
authors.forename: P
authors.initials: P
authors.lastname: Alla
authors.forename: P
authors.initials: P
authors.lastname: Goutorbe
mesh_terms: D001285:Atropine / Q000506:poisoning*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D018727:Muscarinic Antagonists / Q000506:poisoning; D009184:Mydriatics / Q000506:poisoning; D020258:Neurotoxicity Syndromes / Q000175:diagnosis* / Q000209:etiology; D012720:Severity of Illness Index; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology; D055815:Young Adult
chemical_list: D018727:Muscarinic Antagonists; D009184:Mydriatics; D001285:Atropine