Seizure following the Use of the COX-2 Inhibitor Etoricoxib

We describe a case of epileptic seizures occurring after the use of a COX-2 inhibitor. A 61-year-old man was admitted to our department because of a generalized tonic-clonic seizure. EEG showed generalized slowdown of the activity. Neuroimaging and blood samples studies did not evidence alterations,...

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Main Authors: Valentina Arnao, Marianna Riolo, Brigida Fierro, Paolo Aridon
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2017/1410759
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author Valentina Arnao
Marianna Riolo
Brigida Fierro
Paolo Aridon
author_facet Valentina Arnao
Marianna Riolo
Brigida Fierro
Paolo Aridon
author_sort Valentina Arnao
collection DOAJ
description We describe a case of epileptic seizures occurring after the use of a COX-2 inhibitor. A 61-year-old man was admitted to our department because of a generalized tonic-clonic seizure. EEG showed generalized slowdown of the activity. Neuroimaging and blood samples studies did not evidence alterations, but a careful pharmacological history revealed that the patient had taken the COX-2 inhibitor etoricoxib to treat lumbago few days before the onset of clinical symptoms. No seizures were reported after etoricoxib discontinuation and an EEG resulted to be normal two months after this. Conclusion. Knowing the pharmacological history of a patient is important for understanding the clinical presentation and selecting appropriate treatment. This is, to the best of our knowledge, the first reported case of generalized seizures associated with the use of COX-2 inhibitors.
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institution Kabale University
issn 2090-6668
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language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-71857775e67b4ec8850e2e63c9f24c4c2025-02-03T06:07:06ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/14107591410759Seizure following the Use of the COX-2 Inhibitor EtoricoxibValentina Arnao0Marianna Riolo1Brigida Fierro2Paolo Aridon3Dipartimento di Biomedicina Sperimentale e Neuroscienze Cliniche, Università degli Studi di Palermo, Palermo, ItalyDipartimento di Biomedicina Sperimentale e Neuroscienze Cliniche, Università degli Studi di Palermo, Palermo, ItalyDipartimento di Biomedicina Sperimentale e Neuroscienze Cliniche, Università degli Studi di Palermo, Palermo, ItalyDipartimento di Biomedicina Sperimentale e Neuroscienze Cliniche, Università degli Studi di Palermo, Palermo, ItalyWe describe a case of epileptic seizures occurring after the use of a COX-2 inhibitor. A 61-year-old man was admitted to our department because of a generalized tonic-clonic seizure. EEG showed generalized slowdown of the activity. Neuroimaging and blood samples studies did not evidence alterations, but a careful pharmacological history revealed that the patient had taken the COX-2 inhibitor etoricoxib to treat lumbago few days before the onset of clinical symptoms. No seizures were reported after etoricoxib discontinuation and an EEG resulted to be normal two months after this. Conclusion. Knowing the pharmacological history of a patient is important for understanding the clinical presentation and selecting appropriate treatment. This is, to the best of our knowledge, the first reported case of generalized seizures associated with the use of COX-2 inhibitors.http://dx.doi.org/10.1155/2017/1410759
spellingShingle Valentina Arnao
Marianna Riolo
Brigida Fierro
Paolo Aridon
Seizure following the Use of the COX-2 Inhibitor Etoricoxib
Case Reports in Neurological Medicine
title Seizure following the Use of the COX-2 Inhibitor Etoricoxib
title_full Seizure following the Use of the COX-2 Inhibitor Etoricoxib
title_fullStr Seizure following the Use of the COX-2 Inhibitor Etoricoxib
title_full_unstemmed Seizure following the Use of the COX-2 Inhibitor Etoricoxib
title_short Seizure following the Use of the COX-2 Inhibitor Etoricoxib
title_sort seizure following the use of the cox 2 inhibitor etoricoxib
url http://dx.doi.org/10.1155/2017/1410759
work_keys_str_mv AT valentinaarnao seizurefollowingtheuseofthecox2inhibitoretoricoxib
AT mariannariolo seizurefollowingtheuseofthecox2inhibitoretoricoxib
AT brigidafierro seizurefollowingtheuseofthecox2inhibitoretoricoxib
AT paoloaridon seizurefollowingtheuseofthecox2inhibitoretoricoxib