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A 31-year-old man developed permanent cerebellar syndrome, pseudobulbar palsy, basal ganglia micro lesions and psychomotor agitation secondary to a suicide attempt by ingestion of aripiprazole and lithium overdose [not all duration to reaction onsets stated].
The man with medical history of bipolar disorder and with a history of numerous manic episodes was admitted to the emergency room in April 2015 after a suicide attempt by ingestion of lithium and aripiprazole tablets. He was found at home with altered consciousness and was admitted with fine tremor in four limbs, psychomotor agitation, muscular rigidity, and nystagmus. His Glasgow Score was 9/15 (E4 V1 M4). He was previously on treatment with lithium extended release 800 mg/day and aripiprazole 30 mg/day for bipolar disorder and it looked that...