Summary
A patient developed asterixis 13 weeks after starting a therapy with carbamazepine. Serum concentration of carbamazepine was within the therapeutic levels. Further factors which might have provoked asterixis were an impairment of pulmonary function and the combination with a neuroleptic and lithium. Since the latter risk factors had already been present for a long time, it may be assumed that the addition of carbamzepine triggered the development of asterixis.
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Abbreviations
- EEG:
-
Electro-encephalogram
- GOT:
-
Glutamate oxalacetate transaminase
- GPT:
-
Glutamate pyruvate transaminase
- Gamma GT:
-
Gamma glytamyl transpeptidase
- LDH:
-
Lactate dehydrogenase
References
Adams RD, Foley JM (1949) The neurological changes in the more common types of severe liver disease. Tr Am Neurol A 74:217
Ambrosetto G, Riva R, Baruzzi A (1984) Hyperammonemia in asterixis induced by carbamazepine: two case reports. Acta Neurol Scand 69:186–189
Ballenger JC (1988) The clinical use of carbamazepine in affective disorders. J Clin Psychiatry 49:4 (Suppl), 13–19
Chadwick D, Reynolds EH, Marsden CD (1976) Anticonvulsant-induced dyskinesias: a comparison with dyskinesias induced by neuroleptics. J Neurology, Neurosurgery and Psychiatry, 39:1210–1218
Conn HO (1960) Asterixis in non-hepatic disorders. Am J Med 29:647–661
Degos J-D, Verroust J, Boucharreine A, Serdaru M, Barbizet J (1979) Asterixis in focal brain lesions. Arch Neurol 36:705–707
Donat JR (1980) Unilateral asterixis due to thalamic hemorrhage. Neurology 30:83–84
Kanter GL, Yerevanian BI, Ciccione JR (1984) Case report of a possible interaction between neuroleptics and carbamazepine. Am J Psychiatry 141:1101–1102
Leavitt S, Tyler HR (1964) Studies in asterixis. Arch Neurol 10:360–368
Shukla S, Godwin C, Long LE, Miller MG (1984) Lithium-carbamazepine neurotoxicity and risk factors. Am J Psychiatry 141:1604–1606
Sramek J, Herrera J, Costa J, Hen C, Tran-Johnson T, Simpson G (1988) A carbamazepine trial in chronic, treatment-refractory schizophrenic inpatients. Am J Psychiatry 145:748–750
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Rittmannsberger, H., Leblhuber, F. & Sommer, R. Asterixis as a side effect of carbamazepine therapy. Klin Wochenschr 69, 279–281 (1991). https://doi.org/10.1007/BF01666855
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DOI: https://doi.org/10.1007/BF01666855