Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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A Case of Scopolamine-Induced Central Anticholinergic Syndrome

스코폴라민부착포에 의해 발생한 중추성항콜린 증후군 1예

  • Shin, Dong-Sung (Department of Neurology, Yeungnam University College of Medicine) ;
  • Lee, Ho-Sun (Department of Neurology, Yeungnam University College of Medicine) ;
  • Lee, Se-Jin (Department of Neurology, Yeungnam University College of Medicine)
  • 신동성 (영남대학교 의과대학 신경과학교실) ;
  • 이호선 (영남대학교 의과대학 신경과학교실) ;
  • 이세진 (영남대학교 의과대학 신경과학교실)
  • Published : 2012.06.30
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Abstract

Central anticholinergic syndrome occurs when an anticholinergic substance works in vivo or as a result of the insufficient release of acetylcholine. Its symptoms include confusion, agitation, behavioral change, hallucination, blurred vision, and dysarthria. Occasionally, these symptoms occur with the use of a scopolamine patch. A 54-year-old female complained of behavioral change and confused mentality. She attached a scopolamine patch at the postauricular area in the morning of the day before her hospital visit. Neurological examination revealed bilateral symmetric mydriasis without light reflex. The brain MRI was normal, and electroencephalography showed nonspecific abnormalities. The patient recovered completely after the removal of the scopolamine patch.

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