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JYMS : Journal of Yeungnam Medical Science

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HOME > J Yeungnam Med Sci > Volume 29(1); 2012 > Article
Case Report A Case of Scopolamine-Induced Central Anticholinergic Syndrome.
Dong Sung Shin, Ho Sun Lee, Se Jin Lee
Journal of Yeungnam Medical Science 2012;29(1):58-60
Published online: June 30, 2012
Department of Neurology, Yeungnam University College of Medicine, Daegu, Korea.
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Central anticholinergic syndrome occurs when an anticholinergic substance works in vivo or as a result of the insufficient release of acetylcholine. Its symptoms include confusion, agitation, behavioral change, hallucination, blurred vision, and dysarthria. Occasionally, these symptoms occur with the use of a scopolamine patch. A 54-year-old female complained of behavioral change and confused mentality. She attached a scopolamine patch at the postauricular area in the morning of the day before her hospital visit. Neurological examination revealed bilateral symmetric mydriasis without light reflex. The brain MRI was normal, and electroencephalography showed nonspecific abnormalities. The patient recovered completely after the removal of the scopolamine patch.

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