Open access · Peer reviewed · No APCs
Case ReportJournal of Pharmacology and PharmacotherapeuticsVol. 7 | Issue 1 | 2016 | pp. 34–37Open access
“Ping‑pong gaze” secondary to monoamine oxidase inhibitor overdose
- 1*,
- 2,
- 3,
- 4,
- 4
- 1 Department of Pulmonary Critical Care, University Hospitals, Case Western Reserve University, Cleveland, Ohio, USA.
- 2 Department of Pulmonary Critical Care, MetroHealth Medical Center, Cleveland, Ohio, University Hospitals, Case Western Reserve University, Cleveland, Ohio, USA.
- 3 Department of Pharmacy, Ferris State University, Borgess Hospital, Kalamazoo, Michigan, USA.
- 4 Pulmonary Critical Care, Henry Ford Health System, Detroit, USA.
Published in Journal of Pharmacology and Pharmacotherapeutics
Correspondence: Amy Attaway
Department of Pulmonary Critical Care, University Hospitals, Case Western Reserve University, Cleveland, Ohio, USA.
Email: amy.attaway@uhhospitals.org
Copyright: © 2016 Manuscript Technomedia LLP. This is an open access article.
- Published:
- Jan 1, 2016
- Received:
- Jan 23, 2015
- Accepted:
- Jun 12, 2015
How to cite
Attaway, A., Sroujieh, L., Mersfelder, T. L., Butler, C., & Ouellette, D. (2016). “Ping‑pong gaze” secondary to monoamine oxidase inhibitor overdose. Journal of Pharmacology and Pharmacotherapeutics, 7(1), 34–37. https://doi.org/10.4103/0976-500X.179360
Abstract
An infrequent manifestation of monoamine oxidase inhibitor (MAOI) toxicity is “ping-pong gaze” (PPG). We describe the case of a 26-year-old female who was found unresponsive after taking 40 tablets of phenelzine. On presentation to the hospital, her eyes were moving in characteristic “ping pong” fashion. After 6 hours her gaze terminated. The following day her neurologic exam was benign and she had no long-term sequelae. While the etiology of PPG is unknown, it is most often seen with irreversible structural brain damage. However, a detailed literature review revealed that previous cases of MAOI toxicity where the patient survived have all had complete neurologic recovery.
Keywords
Subject
Article metadata
| Title | “Ping‑pong gaze” secondary to monoamine oxidase inhibitor overdose |
|---|---|
| Authors | Amy Attaway; Laila Sroujieh; Tracey L. Mersfelder; Christopher Butler; Daniel Ouellette |
| Affiliations | Department of Pulmonary Critical Care, University Hospitals, Case Western Reserve University, Cleveland, Ohio, USA.; Department of Pulmonary Critical Care, MetroHealth Medical Center, Cleveland, Ohio, University Hospitals, Case Western Reserve University, Cleveland, Ohio, USA.; Department of Pharmacy, Ferris State University, Borgess Hospital, Kalamazoo, Michigan, USA.; Pulmonary Critical Care, Henry Ford Health System, Detroit, USA. |
| Corresponding author | amy.attaway@uhhospitals.org |
| Journal | Journal of Pharmacology and Pharmacotherapeutics |
| Volume / Issue | Vol. 7, Issue 1 (2016) |
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