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Carbamazepine-responsive paroxysmal nausea and vomiting in a patient with meningeal carcinomatosis.

AbstractIn neurology, paroxysmal syndromes are well-known, eg, as manifestations of multiple sclerosis. We report a patient with meningeal carcinomatosis, who presented with therapy-refractory nausea and vomiting. The clinical suspicion of a paroxysmal syndrome prompted a trial of carbamazepine, which resulted in complete cessation of the symptoms. In cancer patients with central nervous system (CNS) involvement and therapy-refractory symptoms with sudden onset, carbamazepine treatment should be considered.
AuthorsImke Strohscheer, Gian Domenico Borasio (Affiliation: Section of Palliative Care, Medical University, Graz, Germany. imke.strohscheer at klinikum-graz.at)
JournalPalliative medicine (Palliat Med) Vol. 20 Issue 5 Pg. 549-50 (Jul 2006) ISSN: 0269-2163 England
PMID16903409 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anticonvulsants
  • Antiemetics
  • Carbamazepine
Topics
  • Adult
  • Anticonvulsants (therapeutic use)
  • Antiemetics (therapeutic use)
  • Breast Neoplasms
  • Carbamazepine (therapeutic use)
  • Carcinoma (drug therapy, secondary)
  • Drug Resistance
  • Fatal Outcome
  • Female
  • Humans
  • Meningeal Neoplasms (drug therapy, secondary)
  • Nausea (drug therapy, etiology)
  • Syndrome
  • Vomiting (drug therapy, etiology)