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Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 119-121

Focal seizure as a manifestation of serotonin syndrome: case report

Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA

Correspondence Address:
Dr. Eyad Almallouhi
Department of Neurology, Medical University of South Carolina, 96 Jonathan Lucas St. #301 CSB, MSC 606, Charleston, South Carolina 29425
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajm.AJM_7_19

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Serotonin syndrome is a life-threatening condition. Seizure is one of the complications of serotonin syndrome that may delay diagnosis and complicate management. We report a patient who had a focal seizure with abnormal electroencephalogram in the setting of serotonin syndrome with no prior history of epilepsy or seizure-provoking factors (fever, electrolyte abnormalities, specific medication combinations, and specific medication overdosing). Recognition of seizure as a symptom of serotonin syndrome is important for early treatment and avoidance of long-term consequences. Treatment of serotonin syndrome is mostly supportive. However, a short course of antiepileptics may be needed if these patients develop seizures.

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