A Case Report on an Atypical Presentation of the Syndrome of Irreversible Lithium-Effectuated Neurotoxicity (SILENT) in a War Veteran with Bipolar Disorder and PTSD

Table 1

Patients with persistent encephalopathic illness as a sequela of lithium toxicity.

Author	Age/gender	Persistent sequelae	Precipitating factors	Dose, mg/day	Plasma level mM/L	Acute neurologic signs
Lecamwasam et al. [13]	71/M	Encephalopathic illness with histologic evidence of neurologic sequelae	Chronic lithium toxicity	1500 mg	0.88-0.99	Parkinsonism, dysphagia, dysarthria, deterioration in mobility, coma, generalized tremor
Our patient	56/M	Prolonged encephalopathy; Persistent slowing of the background activity of EEG	Chronic lithium therapy	900 mg	2.8	Seizure, altered mental status