6533b7d8fe1ef96bd126ab99

RESEARCH PRODUCT

Enzephalopathie nach Intoxikation mit einem Anticholinergikum

Maier WA. MuttrayDemuth WVogt TKonietzko J

subject

medicine.drug_classbusiness.industryToxic encephalopathyAcute intoxicationOcular hypertensionGeneral MedicineChemical laboratoryTest agentmedicine.diseaseAnesthesiamedicineAnticholinergicMydriasisDeliriummedicine.symptombusiness

description

A 55-year-old chemical laboratory technician developed mydriasis and ocular hypertension, which lasted for 6 weeks, after synthesizing several kilograms of a scopolamine-related test agent with anticholinergic action and then decanting a powdery intermediary substance, the dust of which he may have inhaled. Six weeks later he suddenly had symptoms of an acute intoxication while synthesizing a scopolamine-related substance. The anticholinergic delirium regressed completely within one day requiring no treatment. But subsequently he developed symptoms of a toxic encephalopathy. This only partially regressed over the following 3 years. Its probable cause is thought to have been either the manifestation of an already existing organic cerebral psychiatric syndrome or an as yet unknown effect of the test substance.

https://doi.org/10.1055/s-2008-1058754