DATURA DELIRIUM

被引:22
作者
HANNA, JP
SCHMIDLEY, JW
BRASELTON, WE
机构
[1] CASE WESTERN RESERVE UNIV,SCH MED,DEPT NEUROL,CLEVELAND,OH 44106
[2] CLEVELAND METROPOLITAN GEN HOSP,DEPT NEUROL,CLEVELAND,OH 44109
[3] MICHIGAN STATE UNIV,DEPT PHARMACOL & TOXICOL,E LANSING,MI 48824
关键词
DATURA; TROPINE ALKALOIDS; PHYSOSTIGMINE;
D O I
10.1097/00002826-199204000-00004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Poisoning with tropine alkaloids from cultivated plants and pharmaceuticals is an uncommon cause of delirium and coma. We report a patient with a toxic delirium following ingestion of the tropine alkaloid-containing root of Datura innoxia. Thin-layer chromatography and gas chromatography/mass spectrometry confirmed the presence of atropine and scopolamine in samples of the ingested root. Routine clinical toxin screens may not include an assay for tropine alkaloids. A specific tropine alkaloid assay may provide supporting evidence. The clinical, electroencephalographic, and therapeutic aspects of anticholinergic poisoning are discussed.
引用
收藏
页码:109 / 113
页数:5
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