HYPERMAGNESEMIC PSEUDOCOMA

被引：21

作者：

RIZZO, MA

FISHER, M

LOCK, JP

机构：

[1] MED CTR CENT MASSACHUSETTS, DEPT MED, WORCESTER, MA USA

[2] UNIV MASSACHUSETTS, SCH MED, WORCESTER, MA 01605 USA

来源：

ARCHIVES OF INTERNAL MEDICINE | 1993年 / 153卷 / 09期

关键词：

D O I：

10.1001/archinte.153.9.1130

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We treated a case of iatrogenic hypermagnesemia that clinically mimicked a central brain-stem herniation syndrome. Hypermagnesemia (magnesium level, 9.85 mmol/L [24 mg/dL]) can cause parasympathetic blockade, inducing fixed and dilated pupils, in addition to neuromuscular blockade. Extreme hypermagnesemia can therefore mimic a midbrain syndrome and cause a pseudocomatose state.

引用

收藏

页码：1130 / 1132

页数：3

相关论文

共 13 条

[1] DISORDERS OF CALCIUM AND MAGNESIUM HOMEOSTASIS [J].

AGUS, ZS ;

WASSERSTEIN, A ;

GOLDFARB, S .

AMERICAN JOURNAL OF MEDICINE, 1982, 72 (03) :473-488

[2] MAGNESIUM TOXICITY AS A CAUSE OF HYPOTENSION AND HYPOVENTILATION - OCCURRENCE IN PATIENTS WITH NORMAL RENAL-FUNCTION [J].

FASSLER, CA ;

RODRIGUEZ, RM ;

BADESCH, DB ;

STONE, WJ ;

MARINI, JJ .

ARCHIVES OF INTERNAL MEDICINE, 1985, 145 (09) :1604-1606

[3]

GARCIAWEBB P, 1984, BMJ-BRIT MED J, V288, P259

[4]

GARRE M, 1986, LANCET, V1, P220

[5] EXTREME HYPERMAGNESEMIA CAUSED BY AN OVERDOSE OF MAGNESIUM-CONTAINING CATHARTICS [J].

GERARD, SK ;

HERNANDEZ, C ;

KHAYAMBASHI, H .

ANNALS OF EMERGENCY MEDICINE, 1988, 17 (07) :728-731

[6] HYPERMAGNESEMIA FOLLOWING IRRIGATION OF RENAL PELVIS - CAUSE OF RESPIRATORY DEPRESSION [J].

JENNY, DB ;

GORIS, GB ;

URWILLER, RD ;

BRIAN, BA .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1978, 240 (13) :1378-1379

[7] SUBCLINICAL BRAIN-SWELLING IN CHILDREN DURING TREATMENT OF DIABETIC-KETOACIDOSIS [J].

KRANE, EJ ;

ROCKOFF, MA ;

WALLMAN, JK ;

WOLFSDORF, JI .

NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (18) :1147-1151

[8]

MORDES JP, 1977, PHARMACOL REV, V29, P273

[9] HYPERMAGNESEMIA IN RENAL FAILURE - ETIOLOGY + TOXIC MANIFESTATIONS [J].

RANDALL, RE ;

COHEN, MD ;

SPRAY, CC ;

ROSSMEISL, EC .

ANNALS OF INTERNAL MEDICINE, 1964, 61 (01) :73-+

[10]

SOMJEN G, 1966, J PHARMACOL EXP THER, V154, P652