Pellegrini A, Baldan A, Currò Dossi R, Testa G
Istituto di Clinica delle Malattie Nervose e Mentali, Università, Padova.
Riv Neurol. 1988 Jul-Aug;58(4):153-5.
Seven cases of convulsive seizure occurring after abrupt withdrawal of Lorazepam in non epileptic patients are reported. Five ot of them had an important cerebral damage occurred in perinatal period. All patients, before withdrawal, had been taking Lorazepam, 5-15 mg/day, for at least six months. It is stressed that in similar cases there is no need to start an anticonvulsive therapy because usually there is not a spontaneous recurrence of convulsive seizures. It is suggested that withdrawal of long term treatments with high doses of benzodiazepines be accomplished carefully and very slowly especially in patients with a previous cerebral damage.
报告了7例非癫痫患者在突然停用劳拉西泮后发生惊厥发作的病例。其中5例在围生期发生了严重脑损伤。所有患者在停药前均服用劳拉西泮,剂量为5 - 15毫克/天,至少服用了6个月。强调在类似病例中无需启动抗惊厥治疗,因为惊厥发作通常不会自发复发。建议尤其是有既往脑损伤的患者,在停用高剂量苯二氮䓬类药物的长期治疗时要谨慎且非常缓慢地进行。