1/7. Anterograde amnesia in triazolam overdose despite flumazenil treatment: a case report.Anterograde amnesia, possibly accompanied by acute brain syndrome, is a potential side-effect of certain benzodiazepines, particularly triazolam. flumazenil is a benzodiazepine antagonist that is highly effective in reversing the central nervous system effects of benzodiazepine overdose. We report a case of triazolam overdose resulting in anterograde amnesia after flumazenil administration had restored clear consciousness. The defect in memory may have been due to too little flumazenil being given or failure of memory consolidation affected by the character of triazolam during the induced lucent period. We feel that physicians should be aware of the potential occurrence of acute brain syndrome in patients with benzodiazepine overdose despite treatment with flumazenil.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/7. Concussion in sports. Guidelines for the prevention of catastrophic outcome.Concussion (defined as a traumatically induced alteration in mental status, not necessarily with loss of consciousness) is a common form of sports-related injury too often dismissed as trivial by physicians, athletic trainers, coaches, sports reporters, and athletes themselves. While head injuries can occur in virtually any form of athletic activity, they occur most frequently in contact sports, such as football, boxing, and martial arts competition, or from high-velocity collisions or falls in basketball, soccer, and ice hockey. The pathophysiology of concussion is less well understood than that of severe head injury, and it has received less attention as a result. We describe a high school football player who died of diffuse brain swelling after repeated concussions without loss of consciousness. Guidelines have been developed to reduce the risk of such serious catastrophic outcomes after concussion in sports.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/7. Mineral spirits inhalation associated with hemolysis, pulmonary edema, and ventricular fibrillation.A previously healthy 42-year-old woman developed severe dyspnea, chest discomfort, and malaise several hours after prolonged exposure to concentrated vapors from mineral spirits. On the way to the hospital, she sustained a cardiopulmonary arrest; on arrival several minutes later, she was found to be in ventricular fibrillation and was resuscitated. Her hospital course included slowly resolving cardiac abnormalities, amnesia, noncardiogenic pulmonary edema, abrupt hemolytic anemia, sustained rhabdomyolysis, and other metabolic abnormalities. It is highly probable that this syndrome represented acute and near-lethal toxicity caused by the inhalational exposure to the petroleum distillate known as mineral spirits. It is important that physicians be aware of this syndrome in order to recognize it on presentation and to warn patients of the risk of such toxic exposure.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/7. Transient global amnesia, epilepsy, and migraine: diagnostic comparisons and distinctions.Transient global amnesia, epilepsy, and migraine are three common neurologic disorders likely to be encountered by military physicians. These three entities share many clinical, electroencephalographic, and pathophysiologic characteristics. We report a patient who exemplifies the indistinct boundaries among these conditions and whose response to treatment supports the use of anticonvulsants for selected patients who have recalcitrant migraine.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/7. Anterograde amnesia following triazolam use in two emergency physicians.Anterograde amnesia following triazolam ingestion lasting beyond the sedative-hypnotic effect of the drug has recently been reported. Two additional cases are presented involving emergency physicians.- - - - - - - - - - ranking = 5keywords = physician (Clic here for more details about this article) |
6/7. Transient global amnesia after cerebral angiography with iohexol.Transient global amnesia is an unusual neurologic phenomenon that occasionally occurs after angiography, usually of the cerebral vessels. It represents a benign event, and normal function is ultimately restored, but the amnesia may be frightening for both the patient and the physician until its nature is recognized. The authors describe two cases of transient global amnesia occurring after cerebral angiography with iohexol, outline the criteria for the diagnosis and discuss the proposed mechanism of the phenomenon.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/7. Wernicke-Korsakoff amnestic syndrome secondary to malnutrition in a patient with schizoaffective disorder.OBJECTIVE: The authors identify a rare case of Wernicke-Korsakoff amnestic syndrome and highlight its occurrence in the absence of alcohol dependence. METHOD: A longitudinal case history of a patient with schizoaffective disorder who developed Wernicke-korsakoff syndrome secondary to malnutrition. RESULTS: Refusal to eat based on persecutory delusions in chronic psychotic patients can cause malnutrition and result in Wernicke-korsakoff syndrome. CONCLUSIONS: With increasing managed-care demands for outpatient treatment of chronic psychotic patients, physicians may see more cases of Wernicke-korsakoff syndrome in psychiatric populations.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |