Giroud M, Oriol P, Sgro M, Lambert D, Justrabo E, Escousse A, Thierry A, Dumas R
Service de Neurologie, Hôpital Général, Dijon.
Therapie. 1990 Jan-Feb;45(1):23-5.
The authors report the case of erythema multiforme characterized by its cephalic onset and its rise after association phenytoin and cranial irradiation, for glioblastoma with epileptic fits. Eight similar cases are observed in literature with the same timing. Benign outcome is not always the rule because 2 patients died. This type of reaction being not forseeing, and outcome very varying, we suggest to avoid phenytoin in patients having a cerebral tumor revealed by epilepsy and needing a cranial irradiation.
作者报告了一例多形红斑病例,其特点为头部先出现症状,在联合使用苯妥英钠和进行颅脑照射治疗胶质母细胞瘤伴癫痫发作后病情加重。文献中观察到8例类似病例,发病时间相同。并非总是有良性结局,因为有2例患者死亡。由于这种反应无法预见,且结局差异很大,我们建议对于因癫痫而发现脑部肿瘤且需要进行颅脑照射的患者,避免使用苯妥英钠。