Lamotrigine-induced seizure aggravation and negative myoclonus in indiopathic rolandic epilepsy

Caterina Cerminara, Maria Lucia Montanaro, Paolo Curatolo, Stefano Seri*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The authors describe a paradoxical reaction to lamotrigine (LTG) treatment in a patient with idiopathic rolandic epilepsy characterized by seizure deterioration, the appearance of new seizure type, and transient cognitive impairment. This phenomenon was present at a low dose after a slow titration and promptly reverted on LTG discontinuation. This rare event may have similarities with carbamazepine-induced seizure worsening caused by the Na++ channel inhibitory effect of the two antiepileptic drugs.

Original languageEnglish
Pages (from-to)373-375
Number of pages3
JournalNeurology
Volume63
Issue number2
DOIs
Publication statusPublished - 27 Jul 2004

Keywords

  • toxicology
  • epilepsy
  • antiepileptic drugs
  • myoclonus

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