Journal of Yeungnam Medical Science
- 제29권1호
- /
- Pages.58-60
- /
- 2012
- /
- 2799-8010(eISSN)
스코폴라민부착포에 의해 발생한 중추성항콜린 증후군 1예
A Case of Scopolamine-Induced Central Anticholinergic Syndrome
- 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)
- 발행 : 2012.06.30
초록
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.