Clinical and EEG findings in complex partial status epilepticus with tiagabine.
A case of complex partial status epilepticus (CPSE) with high dose treatment of tiagabine (TGB) is reported. Seizure aggravation and CPSE developed after stepwise increase of TGB to a dose of 60 mg per day as add-on treatment to carbamazepine (CBZ) 1200 mg/day and vigabatrine (VGB) 1000 mg/day. The EEG during CPSE showed bilateral rhythmic slow activity. Clinical symptoms of CPSE and the EEG normalized after i.v. treatment with clonazepam. The literature and the possible mechanism of this paradoxical phenomenon are discussed.
Trinka
E
E
Department of Neurology, Landesnervenklinik Salzburg, Ignaz, Austria.
Moroder
T
T
Nagler
M
M
Staffen
W
W
Löscher
W
W
Ladurner
G
G
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use*; D002220:Carbamazepine / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D004569:Electroencephalography / Q000187:drug effects*; D017029:Epilepsy, Complex Partial / Q000175:diagnosis* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D009557:Nipecotic Acids / Q000627:therapeutic use*; D000078308:Tiagabine; D020888:Vigabatrin; D005680:gamma-Aminobutyric Acid / Q000031:analogs & derivatives / Q000627:therapeutic use
D000927:Anticonvulsants; D009557:Nipecotic Acids; D002220:Carbamazepine; D005680:gamma-Aminobutyric Acid; D020888:Vigabatrin; D000078308:Tiagabine