Marked mydriasis and neuritis nervi optici associated with galactorrhea following citalopram treatment: A case report and discussion

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Abstract

We report the case of a 25-year-old women suffering from major depression who was treated with citalopram for several weeks with doses between 20mg and 60mg. She gradually developed marked mydriasis within 2 months after treatment and subsequently neuritis nervi optici. Moreover, abrupt galactorrhea occurred after 2 months of treatment. All neuro-ophthalmological, neurophysiological, clinical laboratory, and neuroradiological diagnostic efforts did not reveal an underlying organic pathophysiology. The ocular symptoms disappeared rapidly after the discontinuation of citalopram and pulse therapy with methyl-prednisolone. However, galactorrhea persisted for a few weeks necessitating treatment with bromocriptine. Copyright © 2011 Horst J. Koch and Heike Zellmer.

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Koch, H. J., & Zellmer, H. (2011). Marked mydriasis and neuritis nervi optici associated with galactorrhea following citalopram treatment: A case report and discussion. Case Reports in Medicine. Hindawi Limited. https://doi.org/10.1155/2011/191735

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