A Case of Phenytoin-induced Rhabdomyolysis in Status Epilepticus

Phenytoin-Induced Rhabdomyolysis

Summary. A 53-year-old Hispanic male with a history of seizure disorder was admitted for acute kidney injury (AKI) and rhabdomyolysis due to status epilepticus. He was managed with IV fluids and IV phenytoin. No breakthrough seizures occurred on admission and AKI quickly resolved. Twenty-four hours after therapeutic levels of serum phenytoin were reached, serum creatine kinase (CK) levels peake...

Allergic encephalitis with gelastic status epilepticus induced by wasp sting

Wasp stings are ubiquitous worldwide and generally cause self-limiting local reaction. Occasionally more serious systemic reactions such as anaphylaxis, rhabdomyolysis, and intravascular hemolysis may occur, especially with multiple stings. Although exceedingly rare, neurologic complications of the wasp sting have been described. We report a case of allergic encephalitis with gelastic status ep...

Severe rhabdomyolysis induced by cocaine contaminated with caffeine: a case report

Rhabdomyolysis Related to Dyskinesia in Parkinson’s Disease

Rhabdomyolysis is a life threatening syndrome. It accounts for an estimated 8% to 15% of cases of acute renal failure and is associated with a mortality rate of 5%. In movement disorders, various causes of rhabdomyolysis have been reported including status dystonicus, myoclonus, generalized chorea and parkinsonism-hyperprexia syndrome in Parkinson's disease (PD). Levodopa-induced dyskinesia lea...

Refractory status epilepticus complicated by drug-induced involuntary movements.

New onset refractory status epilepticus (NORSE) is a neurological emergency and difficult to treat condition. We report a case of involuntary movements resulting from thiopentone sodium infusion during the management of refractory status epilepticus. A young woman was admitted with fever and NORSE in the neurology intensive care unit. In addition to supportive measures, she was treated with int...