A 23-year old woman developed headache and papilledema due to benign intracranial hypertension (BIH) while taking lithium carbonate for only seven months because of manic-depressive disease. Having discarded other causes, drug ingestion was the most likely etiology of the syndrome since it was observed that symptoms improved upon lithium withdrawal and worsened when the treatment was restarted. This report shows that BIH may appear as a side-effect of relatively short-term therapy with lithium and, therefore, funduscopic exams should be performed in every patient receiving this drug.
Se presentan dos pacientes con episodios de llanto incontrolable. El primer caso se debe a un síndrome de llanto patológico, que responde al tratamiento con L-dopa. El segundo se trata de un cuadro de incontinencia afectiva secundaria a una transtorno depresivo asociada a una lesión del hemisferio derecho; el llanto incontrolable respondió al tratamiento antidepresivo, mejorando al mimo tiempo que el resto de los síntomas. Nuestros resultados muestran que ambos procesos tienen diferentes etiologías y estrategias terapéuticas. Los estudios neurorradiológicos realizados en ambos pacientes mediante CT scan apoyan el papel del hemisferio derecho en el control de la función emocional.
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