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  • Title: Exacerbation of partial seizures and onset of nonepileptic myoclonus with carbamazepine.
    Author: Dhuna A, Pascual-Leone A, Talwar D.
    Journal: Epilepsia; 1991; 32(2):275-8. PubMed ID: 1900790.
    Abstract:
    A child had two to three generalized tonic-clonic (GTC) seizures per week unresponsive to phenobarbital (PB) and valproate (VPA). Interictal EEG demonstrated left occipital spikes. When carbamazepine (CBZ) therapy was started, he developed very frequent (4-6/day) complex partial seizures (CPS) characterized on ictal EEG by focal right temporal lobe discharges. The seizure exacerbation, which was associated with development of nonepileptic, multifocal myoclonus, resolved 24 h after CBZ was discontinued. The exacerbation occurred with therapeutic CBZ serum levels, but may have been related to the toxic levels of carbamazepine-10, 11-epoxide (CBZE).
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