TY - JOUR PY - 2020// TI - An adult case of generalized convulsions caused by the ingestion of Ginkgo biloba seeds with alcohol JO - Internal medicine A1 - Azuma, Fumika A1 - Nokura, Kazuya A1 - Kako, Tetsuharu A1 - Kobayashi, Daisuke A1 - Yoshimura, Teruki A1 - Wada, Keiji SP - ePub EP - ePub VL - ePub IS - ePub N2 - A 64-year-old woman developed symptoms of vomiting and tonic-clonic convulsions 9.5 h after eating 50 roasted Ginkgo biloba seeds with 100 g of alcohol. The intravenous administration of pyridoxal phosphate effectively improved the symptoms. Blood samples were collected and stored over 35 h. The assessment of 4'-O-methylpyridoxine and vitamin B6 vitamers indicated high levels of both, but the pyridoxal phosphate levels were low during the acute stage. These results suggest that 4'-O-methylpyridoxine inhibits the transformation of vitamin B6 analogues to the active form, pyridoxal phosphate. In our case, alcohol may have extended the period until ginkgo intoxication appeared.

Language: en

LA - en SN - 0918-2918 UR - http://dx.doi.org/10.2169/internalmedicine.4196-19 ID - ref1 ER -