Topiramate-Induced Persistent Eyelid Myokymia
Background. Topiramate (TPM) is a psychotropic drug, which is used mainly as an antiepileptic drug and now over the years is used for a wider range of indications, including migraine prophylaxis and binge eating disorders. Although ocular side effects of Topiramate have been frequently reported, neu...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2016/7901085 |
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| author | Mohammadrasoul Khalkhali |
| author_facet | Mohammadrasoul Khalkhali |
| author_sort | Mohammadrasoul Khalkhali |
| collection | DOAJ |
| description | Background. Topiramate (TPM) is a psychotropic drug, which is used mainly as an antiepileptic drug and now over the years is used for a wider range of indications, including migraine prophylaxis and binge eating disorders. Although ocular side effects of Topiramate have been frequently reported, neuroophthalmologic manifestations such as myokymia are rarely reported. Case Presentation. This case report presents a case of a 47-year-old woman who had begun TPM for binge eating problem. She developed unilateral long standing lower eyelid twitching, which progressed to upper eyelid and eyebrow at the same side. The patient was not a smoker or excessive alcohol or caffeine abuser. Increasing the resting time and changing life style made no significant changes in her eyelid twitching. There was no definite evidence by neuroimaging and clinical or laboratory evaluations causing eyelid myokymia. The symptoms resolved with discontinuation of TPM. Conclusion. Although eyelid myokymia is a benign and self-limited condition, it sometimes becomes a source of distress in chronic long standing cases. Physicians should be aware of the neuroophthalmologic side effects of this drug. |
| format | Article |
| id | doaj-art-85cd88a069634b72b0f78cf1e74c52f3 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-85cd88a069634b72b0f78cf1e74c52f32025-08-20T03:37:46ZengWileyCase Reports in Psychiatry2090-682X2090-68382016-01-01201610.1155/2016/79010857901085Topiramate-Induced Persistent Eyelid MyokymiaMohammadrasoul Khalkhali0Department of Psychiatry, Shafa Hospital, Guilan University of Medical Sciences, Rasht 4165863795, IranBackground. Topiramate (TPM) is a psychotropic drug, which is used mainly as an antiepileptic drug and now over the years is used for a wider range of indications, including migraine prophylaxis and binge eating disorders. Although ocular side effects of Topiramate have been frequently reported, neuroophthalmologic manifestations such as myokymia are rarely reported. Case Presentation. This case report presents a case of a 47-year-old woman who had begun TPM for binge eating problem. She developed unilateral long standing lower eyelid twitching, which progressed to upper eyelid and eyebrow at the same side. The patient was not a smoker or excessive alcohol or caffeine abuser. Increasing the resting time and changing life style made no significant changes in her eyelid twitching. There was no definite evidence by neuroimaging and clinical or laboratory evaluations causing eyelid myokymia. The symptoms resolved with discontinuation of TPM. Conclusion. Although eyelid myokymia is a benign and self-limited condition, it sometimes becomes a source of distress in chronic long standing cases. Physicians should be aware of the neuroophthalmologic side effects of this drug.http://dx.doi.org/10.1155/2016/7901085 |
| spellingShingle | Mohammadrasoul Khalkhali Topiramate-Induced Persistent Eyelid Myokymia Case Reports in Psychiatry |
| title | Topiramate-Induced Persistent Eyelid Myokymia |
| title_full | Topiramate-Induced Persistent Eyelid Myokymia |
| title_fullStr | Topiramate-Induced Persistent Eyelid Myokymia |
| title_full_unstemmed | Topiramate-Induced Persistent Eyelid Myokymia |
| title_short | Topiramate-Induced Persistent Eyelid Myokymia |
| title_sort | topiramate induced persistent eyelid myokymia |
| url | http://dx.doi.org/10.1155/2016/7901085 |
| work_keys_str_mv | AT mohammadrasoulkhalkhali topiramateinducedpersistenteyelidmyokymia |