Bir ergende sertralin dozuna bağlı olarak gelişen akut servikal distoni

Seçici serotonin gerialım inhibitörleri, güvenli olması ve tolere edilebilirliği nedeniyle çocuk ve ergen psikiyatrisi klinik pratiğinde yaygın olarak kullanılmaktadır. Literatürde seçici serotonin gerialım inhibitörleri SSRI kullanımına bağlı ekstrapiramidal sistem belirtiler erişkinde daha sık bildirilmiş olup çocuklarda nadir olarak sunulmuştur. Biz bu yazı- da, 12 yaşında ergen bir kızda sertalin doz artışına bağlı ortaya çıkan ve dozun azaltılmasından sonra yinelemeyen akut servikal distoni olgusunu sunuyoruz. Çocuk ve ergenlerde sertraline bağlı servikal distoni birkaç olgu sunumu olarak bildirilmiş olmakla birlikte, olgumuz doz artışı sonrası ilk günde ortaya çıkan ilk olgudur. (Anadolu Psikiyatri Derg 2019; 20(6):667-669)

Sertraline-induced dose related acute cervical dystonia in an adolescent patient

Selective serotonin re-uptake inhibitors (SSRIs) are commonly used in the clinical practice of child and adolescentpsychiatry because of reasonable safety and tolerability. In the literature, extrapyramidal system symptoms (EPS)induced by SSRI use are more frequently reported in adults, but are rarely reported in children. In this report, wereport acute cervical dystonia that occurs due to sertraline dose increase and does not recur after dose reductionin a 12-year-old adolescent girl. Although sertraline-induced cervical dystonia in children and adolescents has beenreported as several case reports, our case is the first case occurring on the first day after a dose increase. (Ana-tolian Journal of Psychiatry 2019; 20(6):667-669)

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