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[Exacerbation of tonicoclonic seizures in a juvenile myoclonic epileptic taking lamotrigine]

AbstractINTRODUCTION: Lamotrigine is an anti-epileptic drug considered as a first-line therapy in idiopathic generalised epilepsy. Lamotrigine is well-tolerated and secondary aggravation of epileptic syndromes has rarely been reported. CASE REPORT: We report the case of a 19 year-old man with juvenile myoclonic epilepsy in whom lamotrigine lead to the exacerbation of generalised tonico-clonic seizures, reversible when lamotrigine was stopped and substituted by valproic acid. CONCLUSION: Lamotrogine may induce exacerbation of generalised tonico-clonic seizures and myoclonic jerks in juvenile myoclonic epilepsy.
AuthorsY Maiga, B Nogues, B Guillon (Affiliation: Clinique Neurologique, Hôpital Laënnec, Nantes.)
JournalRevue neurologique (Rev Neurol (Paris)) Vol. 162 Issue 11 Pg. 1125-7 (Nov 2006) ISSN: 0035-3787 France
Vernacular TitleAccentuation des crises tonico-cloniques sous lamotrigine dans l'épilepsie myoclonique juvénile.
PMID17086150 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Anticonvulsants
  • Triazines
  • lamotrigine
  • Valproic Acid
Topics
  • Adult
  • Anticonvulsants (adverse effects, therapeutic use)
  • Electroencephalography
  • Epilepsy, Tonic-Clonic (chemically induced, complications)
  • Humans
  • Male
  • Myoclonic Epilepsy, Juvenile (complications, drug therapy)
  • Triazines (adverse effects, therapeutic use)
  • Valproic Acid (therapeutic use)