Abstract
Forty-five patients taking bismuth subnitrate orally for therapeutic reasons were admitted to hospital with a myoclonic encephalopathy of acute onset. The clinical features were similar, mostly with mental confusion, disorder of walking and standing, dysarthria, and myoclonic jerks. In 31 cases the EEG showed a characteristic pattern, not previously recognised, which assisted differential diagnosis.
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Selected References
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- Babbage N. F., Flower W., Gill P. W., Garrett D. A., Wark M. L., Tindale J. M. Dose of influenza virus subunit vaccine. Med J Aust. 1973 May 5;1(18):912–913. doi: 10.5694/j.1326-5377.1973.tb110788.x. [DOI] [PubMed] [Google Scholar]
- Buge A., Rancurel G., Poisson M., Dechy H. Encøephalopathies myocloniques par les sels de bismuth. Six cas observés lors de traitements oraux au long cours. Nouv Presse Med. 1974 Oct 26;3(36):2315–2320. [PubMed] [Google Scholar]
- Buge A., Rancurel G., Poisson M., Gazengel J., Dechy H., Fressinaud L., Emile J. 20 observations d'encéphalopathies aiguës avec myoclonies au cours de traitements oraux par les sels de bismuth. Ann Med Interne (Paris) 1974 Dec;125(12):877–888. [PubMed] [Google Scholar]
- Burns R., Thomas D. W., Barron V. J. Reversible encephalopathy possibly associated with bismuth subgallate ingestion. Br Med J. 1974 Feb 9;1(5901):220–223. doi: 10.1136/bmj.1.5901.220. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Escourolle R., Bourdon R., Galli A., Galle P., Jaudon M. C., Hauw J. J., Gray F. Etude neuropathologique et toxicologique de douze cas d'encéphalopathie bismuthique (EB). Rev Neurol (Paris) 1977 Mar;133(3):153–163. [PubMed] [Google Scholar]
- Gastaut J. L., Tassinari C. A., Terzano G., Picornell I. Etude polygraphique de l'encéphalopathie myoclonique bismuthique. Rev Electroencephalogr Neurophysiol Clin. 1975 Jul-Sep;5(3):295–302. doi: 10.1016/s0370-4475(75)80081-5. [DOI] [PubMed] [Google Scholar]
- JONES D. P., NEVIN S. Rapidly progressive cerebral degeneration (subacute vascular encephalopathy) with mental disorder, focal disturbances, and myoclonic epilepsy. J Neurol Neurosurg Psychiatry. 1954 May;17(2):148–159. doi: 10.1136/jnnp.17.2.148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LETEMENDIA F., PAMPIGLIONE G. Clinical and electroencephalographic observations in Alzheimer's disease. J Neurol Neurosurg Psychiatry. 1958 Aug;21(3):167–172. doi: 10.1136/jnnp.21.3.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lhermitte F., Degos C. F., Signoret J. L. Encéphalopathies réversibles par les sels insolubles de bismuth. Cinq nouveaux cas. Nouv Presse Med. 1975 Feb 8;4(6):419–420. [PubMed] [Google Scholar]
- PALLIS C. A., SPILLANE J. D. A subacute progressive encephalopathy with mutism, hypokinesia, rigidity, and myoclonus. Q J Med. 1957 Jul;26(103):349–373. [PubMed] [Google Scholar]