Epilepsy Center, Department of Neurosciences, University of Messina, Italy.
Epileptic Disord. 2012 Jun;14(2):172-3. doi: 10.1684/epd.2012.0504.
Carbamazepine-induced abnormal movements have been reported in children and adult patients, and both non-epileptic myoclonus and tic-like movements have been reported in the same patient. Although a pathogenetic mechanism underlying carbamazepine-induced epileptic negative myoclonus has been proposed, a causative role of carbamazepine for positive myoclonus has not been fully identified. Here, we describe the video-documented case of an adult patient with non-epileptic myoclonus and tic-like movements persisting for 21 years, which appeared after he started carbamazepine treatment at 10 years of age. [Published with videosequences].
卡马西平可引起儿童和成年患者出现异常运动,同一患者可出现非癫痫性肌阵挛和类抽搐运动。虽然已经提出了卡马西平引起癫痫性负性肌阵挛的发病机制,但卡马西平引起阳性肌阵挛的致病作用尚未完全确定。在这里,我们描述了一例成年患者的视频记录病例,该患者在 10 岁开始卡马西平治疗后出现非癫痫性肌阵挛和类抽搐运动,且持续 21 年。[发表附有视频序列]。