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与拉莫三嗪治疗相关的肌张力障碍:一例病例报告及文献综述。

Dystonia associated with lamotrigine therapy: a case report and review of the literature.

作者信息

Marrero-Gonzalez Paola C, Ruano Orlando L, Catalano Glenn, Catalano Maria C

机构信息

Mental Health and Behavioral Sciences Service, James A. Haley Veterans Hospital, 13000 Bruce B. Downs, Boulevard #116A, Tampa, Florida 33612.

出版信息

Curr Drug Saf. 2014 Mar;9(1):60-2. doi: 10.2174/18715249113136660060.

Abstract

The association of extrapyramidal side effects (EPS) with the use of conventional antipsychotics is well established, however, EPS can occur during treatment with anticonvulsant medications as well. We will present the case of a patient who developed an acute dystonic reaction during treatment with lamotrigine and again during re-challenge with the same agent. We will review common side effects of this medication and the previous reports of lamotrigine-associated dystonias. We will also discuss a possible underlying mechanism.

摘要

锥体外系副作用(EPS)与使用传统抗精神病药物之间的关联已得到充分证实,然而,EPS也可能在使用抗惊厥药物治疗期间出现。我们将介绍一名患者的病例,该患者在使用拉莫三嗪治疗期间出现急性肌张力障碍反应,在再次使用同一药物激发试验时再次出现该反应。我们将回顾该药物的常见副作用以及先前关于拉莫三嗪相关性肌张力障碍的报道。我们还将讨论一种可能的潜在机制。

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