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Index finger pointing posture in a patient with drug-induced foot tremor.


ABSTRACT: A 41-year-old woman who had been taking paroxetine began taking tramadol for bilateral ankle pain. A few days later, the patient presented acutely with both feet tremors. During a mental arithmetic task, index-finger pointing posture briefly appeared on the left side. Co-administration of paroxetine and tramadol increases the risk of serotonin toxicity. This is the first reported case of index-finger pointing posture which was associated with serotonin toxicity.

SUBMITTER: Yamada G 

PROVIDER: S-EPMC8517918 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Index finger pointing posture in a patient with drug-induced foot tremor.

Yamada Gohei G   Toyoda Takanari T   Katada Eiichi E   Matsukawa Noriyuki N  

Clinical parkinsonism & related disorders 20211007


A 41-year-old woman who had been taking paroxetine began taking tramadol for bilateral ankle pain. A few days later, the patient presented acutely with both feet tremors. During a mental arithmetic task, index-finger pointing posture briefly appeared on the left side. Co-administration of paroxetine and tramadol increases the risk of serotonin toxicity. This is the first reported case of index-finger pointing posture which was associated with serotonin toxicity. ...[more]

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