Case Report


Corneal edema from amantadine toxicity in child with fetal alcohol syndrome

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1 Associate Professor, Department of Psychiatry, KU Medical Center, Kansas City, KS, USA

2 MD candidate 2025, University of Kansas School of Medicine, Kansas City KS, USA

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Ann C Genovese

MD, 3901 Rainbow Blvd, Kansas City, KS 66160,

USA

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Article ID: 101512Z01AG2025

doi: 10.5348/101512Z01AG2025CR

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How to cite this article

Genovese AC, Longhi S. Corneal edema from amantadine toxicity in child with fetal alcohol syndrome. Int J Case Rep Images 2025;16(2):1–6.

ABSTRACT


Amantadine has been used in both neurology and psychiatry for an increasingly wide array of clinical indications, often with significant success in managing difficult-to-treat neurological, developmental, and psychiatric disorders with ongoing research into its potential benefit for many more, often entirely unrelated health conditions. The authors summarize the literature to date which describes corneal edema as a less well-known potential adverse effect of this medication, particularly in children and adolescents. We present a case in which the timely identification of bilateral corneal edema for a child taking amantadine over the course of three years for the treatment of psychiatric and behavioral problems associated with fetal alcohol syndrome, who has resolution of corneal edema following amantadine discontinuation.

Keywords: Amantadine toxicity, Corneal edema, Fetal alcohol syndrome

SUPPORTING INFORMATION


Author Contributions

Ann C Genovese - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Simon Longhi - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Ann C Genovese et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.