title: Intractable Seizures and Rehabilitation in Ciguatera Poisoning.
abstract: Ciguatera fish poisoning is the most frequently reported seafood toxin illness associated with the ingestion of contaminated tropical fish. Diagnosis relies on a history of recent tropical fish ingestion and subsequent development of gastrointestinal, cardiovascular, and neurological symptoms. Ciguatera poisoning usually has a self-limited time course, and its management involves symptomatic control and supportive care. This case report presents an uncommon case of ciguatera poisoning with prolonged intractable seizures refractory to standard antiseizure medications. The patient also had significant functional decline that responded to rigorous inpatient rehabilitation not previously described in literature.
authors: From the Department of Physical Medicine and Rehabilitation, University of Miami/Jackson Memorial Hospital, Miami, Florida.
authors: Armen
authors: A
authors: Derian
authors: Seema
authors: S
authors: Khurana
authors: Joshua
authors: J
authors: Rothenberg
authors: Charles
authors: C
authors: Plumlee
mesh_terms: D000293:Adolescent; D000818:Animals; D000927:Anticonvulsants / Q000627:therapeutic use; D036841:Ciguatera Poisoning / Q000150:complications / Q000534:rehabilitation*; D020233:Gait Disorders, Neurologic / Q000209:etiology / Q000534:rehabilitation; D006801:Humans; D000077287:Levetiracetam; D008297:Male; D009483:Neuropsychological Tests; D026741:Physical Therapy Modalities; D010889:Piracetam / Q000031:analogs & derivatives / Q000627:therapeutic use; D012640:Seizures / Q000188:drug therapy / Q000209:etiology / Q000534:rehabilitation*
chemical_list: D000927:Anticonvulsants; D000077287:Levetiracetam; D010889:Piracetam