Suspected Phentermine-related Brain Stem Stroke: A Case Report

疑似芬他命誘發之腦幹梗塞：個例報告

賴建旭(Chien-Hsu Lai) ； 陳逸芸(Yi-Yun Chen) ； 劉青山(Chin-San Liu)

《The Changhua Journal of Medicine》 8卷4期 (2003/10) Pp. 252-255

摘要

背景及目的：在台灣不少人為了減肥吃來路不明的減肥藥，嚴重的副作用可能因而發生。本個案報告是首例有腦部磁振造影、穿顱超音波及臨床互相佐證的減肥藥芬他命(phentermine)相關的腦中風案例。
個案描述：一位年輕健康女性在服用來路不明的減肥藥後，產生腦幹梗塞。在她所服用的藥丸當中檢驗出芬他命的活性成分。
結論：短期使用芬他命可能誘發腦梗塞。

關鍵字

芬他命 ； 梗塞性腦中風

並列摘要

Background and purpose: People in Taiwan often take diet pills not prescribed by a doctor to reduce body weight, and serious side effects may ensue. This is the first case of a phentermine-related stroke directly confirmed by brain MRI.
Case description: A young healthy woman developed a brain stem infarct only a few days after taking diet pills not prescribed by a doctor. Phentermine was detected in those pills by chemical analysis.
Conclusion: Short-term phentermine use was the probable cause of the cerebral infarct.

並列關鍵字

young stroke ； phentermine ； transcranial Doppler