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KMID : 0370920120290010058
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Yeungnam Univercity Journal of Medicine
2012 Volume.29 No. 1 p.58 ~ p.60
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A Case of Scopolamine-Induced Central Anticholinergic Syndrome
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Shin Dong-Sung
Lee Ho-Sun
Lee Se-Jin
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Abstract
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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 scopola- mine 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. Neurolo- gical 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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KEYWORD
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Central anticholinergic syndrome, Scopolamine patch
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