Case of delirium and convulsion after administration of olanzapine in a cancer patient with refractory vomiting
	    		
	    			
	    			
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	10.2512/jspm.9.501
   		
        
        	
        		- VernacularTitle:難治性嘔吐に対しオランザピンを使用した経過途中にせん妄, 痙攣が生じた1例
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Shizue Kimoto
			        		
			        		;
		        		
		        		
		        		
			        		Shoji Sunada
			        		
			        		;
		        		
		        		
		        		
			        		Chiyo Shibasaki
			        		
			        		;
		        		
		        		
		        		
			        		Yoshikazu Ogawa
			        		
			        		;
		        		
		        		
		        		
			        		Naomi Sanemori
			        		
			        		;
		        		
		        		
		        		
			        		Yosuke Shimizu
			        		
			        		;
		        		
		        		
		        		
			        		Rumi Kunitomi
			        		
			        		;
		        		
		        		
		        		
			        		Kota Ogawa
			        		
			        		;
		        		
		        		
		        		
			        		Yasunori Ichiba
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Olanzapine;
			        		
			        		
			        		
				        		Delirium;
			        		
			        		
			        		
				        		Convulsion;
			        		
			        		
			        		
				        		Refractory vomiting
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:Palliative Care Research
	            		
	            		 2014;9(4):501-504
	            	
            	
 
            
            
            	- CountryJapan
 
            
            
            	- Language:Japanese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Purpose: We report a case of delirium and convulsion after administration of olanzapine in a cancer patient with refractory vomiting. Case report: The patient was a male in his 70s who suffered from lung cancer. After chemotherapy, olanzapine was used for refractory nausea and vomiting. Since this treatment, the patient has experienced delirium and convulsions. While we modified some reversible causes of the delirium, the delirium did not improve. Discontinuation of olanzapine resulted in improvement of the delirium. Recurrent convulsions did not occur with sodium valproate. Olanzapine might increase the risk of delirium and convulsions.