Visual and Auditory Hallucinations: An Uncommon Side Effect of Levetiracetam in an Elderly Patient.

Autor: Tahir H; Geriatrics, Manchester Royal Infirmary/Manchester University NHS Foundation Trust, Manchester, GBR., Ayyaz F; General Surgery, North Manchester General Hospital, Manchester, GBR., Ekwegh U; Geriatrics, Manchester Royal Infirmary/Manchester University NHS Foundation Trust, Manchester, GBR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Oct 25; Vol. 14 (10), pp. e30668. Date of Electronic Publication: 2022 Oct 25 (Print Publication: 2022).
DOI: 10.7759/cureus.30668
Abstrakt: This report focuses on a 77-year-old female who was admitted to an acute geriatrics unit at a tertiary care hospital with a history of recurrent falls and right leg weakness. Computed tomography of the head demonstrated acute left subdural hemorrhage with a possible extradural component at the vertex. This was causing mass effect with effacement of the left superior, frontal, and parietal lobes with no hydrocephalus or fracture. She had an episode of non-convulsive seizure secondary to a head injury and was commenced on levetiracetam. The patient started to display previously unreported visual and auditory hallucinations within four days of starting the medication. After ruling out other potential causes of the symptoms, our team narrowed it down to levetiracetam-induced hallucinations and subsequently discontinued the medication. We commenced pregabalin for seizure control, and there were no further episodes of hallucinations.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Tahir et al.)
Databáze: MEDLINE