Exacerbation of partial seizures and onset of nonepileptic myoclonus with carbamazepine.

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

Epilepsia

journal_title

Epilepsia

authors

Dhuna A,Pascual-Leone A,Talwar D

doi

10.1111/j.1528-1157.1991.tb05255.x

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

275-8

issue

2

eissn

0013-9580

issn

1528-1167

journal_volume

32

pub_type

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