Full neurological recovery following tricyclic overdose associated with absent brainstem reflexes | Zendy

Deborah Webster | Zendy; Priya Datar | Zendy; Sam Waddy | Zendy

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Full neurological recovery following tricyclic overdose associated with absent brainstem reflexes

Author(s) -

Deborah Webster,

Priya Datar,

Sam Waddy

Publication year - 2018

Publication title -

journal of the intensive care society

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.551

H-Index - 14

eISSN - 2057-360X

pISSN - 1751-1437

DOI - 10.1177/1751143718765408

Subject(s) - brainstem , neurology , tricyclic , medicine , anesthesia , emergency department , amitriptyline , reflex , psychiatry , pharmacology

We report the case of an 18-year-old gentleman who presented to the emergency department following a large overdose of amitriptyline. He was comatose on admission but his neurology further deteriorated to global loss of brainstem reflexes. He made a full but slow neurological recovery. First signs of improving neurology were seen on day 3 of admission; he was extubated on day 6 and discharged home on day 9. There is limited recent literature to help guide prognostication in this group of patients.

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