Neuroacanthocytosis : a case report.

An adult male with severe tic disorder presented with recurrent injury to tongue and dysphagia. There were a significant excess of acanthocytes in the peripheral blood smear. Treatment with lithium resulted in a considerable reduction in the severity of tics and self-injurious behaviour.

Occurrence of ventricular ectopics in a patient with therapeutic lithium level.

A young male with bipolar affective disorder, mania with psychotic features was started on lithium therapy. Four days later, he developed an irregular pulse on a lithium level of 0.45 mmol/L. An ECG showed multiple unifocal ventricular ectopics. The cardiac arrhythmia disappeared when lithium was discountinued.