Chatzistefanidis Dimitrios, Karvouni Eleni, Kyritsis Athanassios P, Markoula Sofia
Department of Neurology, Medical School, University Hospital of Ioannina, Ioannina, Greece.
Clin Neuropharmacol. 2013 Jan-Feb;36(1):27-8. doi: 10.1097/WNF.0b013e3182748ecb.
Lacosamide (LCM) is a newer antiepileptic drug with a favorable safety profile used in partial epilepsy as adjunctive therapy. The most common side effects include dizziness, headache, confusion, diplopia, nausea, nasopharyngitis, and vomiting. Although sporadic cases of drug-induced psychosis have been reported for some antiepileptic drugs, this was not the case for LCM. We describe the first case of LCM-induced psychosis in a patient with drug-resistant partial epilepsy during the first week of treatment initiation, stressing the importance of clinicians remaining alert for abnormal behavioral symptoms.
拉科酰胺(LCM)是一种新型抗癫痫药物,安全性良好,用于部分性癫痫的辅助治疗。最常见的副作用包括头晕、头痛、意识模糊、复视、恶心、鼻咽炎和呕吐。虽然已有报道某些抗癫痫药物会引发散发性药物性精神病病例,但拉科酰胺并非如此。我们描述了首例在开始治疗的第一周内,一名耐药性部分性癫痫患者出现拉科酰胺所致精神病的病例,强调临床医生应对异常行为症状保持警惕的重要性。