{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:53:28Z","timestamp":1777881208453,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Although lithium-induced dystonia has been well documented in the literature, conflicting evidence discusses whether a patient may be susceptible to adverse effects from the drug after an anoxic brain injury. More recent literature discusses that lithium may, in fact, be neuroprotective. This case report presents a 35-year-old male who, after an anoxic brain injury after a suicide attempt, developed lithium-induced dystonia with characteristic symptoms of sustained muscle contractions, repetitive movements, and postures, which was not markedly improved with benztropine or benzodiazepines. It is postulated that because this patient received a depot neuroleptic with a subsequent anoxic brain injury, he may have become more sensitive to lithium and its rare complications.<\/jats:p>","DOI":"10.1177\/2050313x18823101","type":"journal-article","created":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T07:14:13Z","timestamp":1547104453000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Lithium: contributor to movement disorder sensitivity after anoxic brain injury?"],"prefix":"10.1177","volume":"7","author":[{"given":"Jennifer L","family":"Pikard","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Queen\u2019s University, Kingston, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dijana","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Queen\u2019s University, Kingston, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Saraceno","sequence":"additional","affiliation":[{"name":"Providence Care Mental Health Services, Kingston, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6913-5710","authenticated-orcid":false,"given":"Dianne","family":"Groll","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Queen\u2019s University, Kingston, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,10]]},"reference":[{"key":"bibr1-2050313X18823101","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12025"},{"key":"bibr2-2050313X18823101","doi-asserted-by":"publisher","DOI":"10.2174\/1567205013666160415154701"},{"key":"bibr3-2050313X18823101","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.143.7.942"},{"key":"bibr4-2050313X18823101","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.135.7.851"},{"key":"bibr5-2050313X18823101","unstructured":"Stahl S. Essential psychopharmacology online. 2008, https:\/\/www.drugs.com\/sfx\/lithium-side-effects.html (accessed 27 December 2018)."},{"issue":"4","key":"bibr6-2050313X18823101","first-page":"473","volume":"50","author":"Chakrabrti S","year":"2002","journal-title":"Neurol India"},{"key":"bibr7-2050313X18823101","doi-asserted-by":"publisher","DOI":"10.1097\/00004714-199108000-00020"},{"key":"bibr8-2050313X18823101","doi-asserted-by":"publisher","DOI":"10.1021\/cn500040g"},{"key":"bibr9-2050313X18823101","volume-title":"Brain injury medicine: principles and practice","author":"Zasler N","year":"2007"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X18823101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X18823101","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X18823101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:36:19Z","timestamp":1777595779000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X18823101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":9,"alternative-id":["10.1177\/2050313X18823101"],"URL":"https:\/\/doi.org\/10.1177\/2050313x18823101","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"2050313X18823101"}}