RESUMO
BACKGROUND: Gabapentin is an anticonvulsant medication used as an adjuvant in the treatment of neuropathic pain; few cases have been reported in which it causes acute liver injury. CLINICAL CASE: 56-year-old male patient with a history of chronic kidney disease on hemodialysis and narrowing of the spinal canal under treatment with gabapentin, who presented acute liver injury probably secondary to a dose of gabapentin; however, it remitted with the suspension of said drug. CONCLUSION: Gabapentin lacks liver metabolism; the mechanism by which it produces liver injury is still unknown; however, there are reports of hepatotoxicity associated with its administration, so its use must be individualized for each patient.
INTRODUCCIÓN: la gabapentina es un fármaco anticonvulsivante utilizado como adyuvante en el tratamiento del dolor neuropático; se han reportado pocos casos en los cuales es causa de lesión hepática aguda. CASO CLÍNICO: paciente masculino de 56 años de edad con antecedente de enfermedad renal crónica en hemodiálisis y diagnóstico de canal lumbar estrecho en tratamiento con gabapentina, quien presentó lesión hepática aguda, probablemente secundaria a la dosis de gabapentina; sin embargo, remitió posterior a la suspensión de dicho fármaco. CONCLUSIÓN: la gabapentina carece de metabolismo hepático; el mecanismo por el cual produce lesión hepática aún es desconocido; sin embargo, existen reportes de hepatotoxicidad asociada a su administración, por lo que su utilización deberá individualizarse para cada paciente.
Assuntos
Doença Hepática Induzida por Substâncias e Drogas , Ácidos Cicloexanocarboxílicos , Aminas/efeitos adversos , Analgésicos , Doença Hepática Induzida por Substâncias e Drogas/diagnóstico , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Ácidos Cicloexanocarboxílicos/efeitos adversos , Gabapentina/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Ácido gama-Aminobutírico/efeitos adversosRESUMO
Bobble-head doll syndrome (BHDS) is a rare entity, characterized by antero-posterior head bobbing, which is of the type "yes-yes." Less frequently, having a head movement of the type "no-no" is described. We report an unusual case of an 80-year-old man with a cystic mass of the lamina quadrigemina, extending to the posterior fossa. We conclude that ventriculocystocisternotomy associated with a cystoperitoneal shunt is an effective treatment for a symptomatic giant arachnoid cyst in the lamina quadrigemina.
