de Toffol B, Hommet C, Corcia P, Autret A
Clinique Neurologique, CHU Bretonneau, Tours.
Rev Neurol (Paris). 1998 Nov;154(11):753-6.
Antiepileptic drugs can sometimes worsen idiopathic generalized epilepsies. Relevant data are based on empirical experience of epileptologists and on few published case-reports according to the suspected drug with serious methodological limitations. Some animal models of epileptic syndromes such as genetic models of absence seizures in rat seem to be helpful for understanding the possible mechanisms underlying drug-induced syndrome aggravation. Adequate epileptic syndrome diagnosis is needed before starting antiepileptic drug.
抗癫痫药物有时会使特发性全身性癫痫恶化。相关数据基于癫痫学家的经验以及少数已发表的病例报告,这些报告依据的可疑药物存在严重的方法学局限性。一些癫痫综合征的动物模型,如大鼠失神发作的遗传模型,似乎有助于理解药物诱发综合征加重的潜在机制。在开始使用抗癫痫药物之前,需要对癫痫综合征进行充分诊断。