Rittmannsberger H, Leblhuber F, Sommer R
Psychiatrische Abteilung, Sektor 3, Wagner-Jauregg-Krankenhaus, Linz, Osterreich.
Klin Wochenschr. 1991 Apr 4;69(6):279-81. doi: 10.1007/BF01666855.
A patient developed asterixis 13 weeks after starting a therapy with carbamazepine. Serum concentration of carbamazepine was within the therapeutic levels. Further factors which might have provoked asterixis were an impairment of pulmonary function and the combination with a neuroleptic and lithium. Since the latter risk factors had already been present for a long time, it may be assumed that the addition of carbamazepine triggered the development of asterixis.
一名患者在开始使用卡马西平治疗13周后出现扑翼样震颤。卡马西平的血清浓度在治疗范围内。可能引发扑翼样震颤的其他因素包括肺功能损害以及与抗精神病药物和锂盐联用。由于后述危险因素早已存在很长时间，因此可以推测卡马西平的加用引发了扑翼样震颤的出现。
