Stupor from lamotrigine toxicity.

Autor: Sbei M; Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, USA., Campellone JV
Jazyk: angličtina
Zdroj: Epilepsia [Epilepsia] 2001 Aug; Vol. 42 (8), pp. 1082-3.
DOI: 10.1046/j.1528-1157.2001.0420081082.x
Abstrakt: Purpose: To report that acute lamotrigine poisoning may result in severe encephalopathy.
Methods: A 55-year-old woman became stuporous after overdose with lamotrigine (LTG) and valproic acid (VPA) tablets. Evaluation revealed elevated serum LTG levels and no other etiology for encephalopathy.
Results: LTG was withheld, and the patient experienced a complete recovery in conjunction with reduced serum levels.
Conclusions: LTG overdose may result in a severe but reversible encephalopathy, a previously undescribed phenomenon. LTG toxicity should be considered in patients taking this drug who have depressed mental status.
Databáze: MEDLINE