Abstract:
:A child had two to three generalized tonic-clonic (GTC) seizures per week unresponsive to phenobarbital (PB) and valproate (VPA). Interictal EEG demonstrated left occipital spikes. When carbamazepine (CBZ) therapy was started, he developed very frequent (4-6/day) complex partial seizures (CPS) characterized on ictal EEG by focal right temporal lobe discharges. The seizure exacerbation, which was associated with development of nonepileptic, multifocal myoclonus, resolved 24 h after CBZ was discontinued. The exacerbation occurred with therapeutic CBZ serum levels, but may have been related to the toxic levels of carbamazepine-10, 11-epoxide (CBZE).
journal_name
Epilepsiajournal_title
Epilepsiaauthors
Dhuna A,Pascual-Leone A,Talwar Ddoi
10.1111/j.1528-1157.1991.tb05255.xsubject
Has Abstractpub_date
1991-03-01 00:00:00pages
275-8issue
2eissn
0013-9580issn
1528-1167journal_volume
32pub_type
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