Reactions 1680, p80 - 2 Dec 2017 O S Generalised tonic clonic seizures and status epilepticus: case report A 5-year-old boy developed generalised tonic clonic seizures and status epilepticus following an accidental overdose of carbamazepine. The previously nonepileptic boy presented to a casualty department with generalised tonic-clonic status [time to reaction onset not stated]. In view of emergency management, he received treatment with midazolam injection followed by valproic acid IV. His father informed that the patient accidentally ingested five tablets of carbamazepine 200mg, which were prescribed for his grandfather. At the presentation, he appeared drowsy, and was electively intubated for protection his airway. The boy was treated with midazolam for his continued status epilepticus. He underwent gastric lavage as his blood carbamazepine level was found to be above therapeutic range. He was evaluated with EEG, which revealed a diffuse slowing. His seizures ceased in six hours with improvement in his sensorium over the next 24 hours. He was continued on slowly tapering midazolam, and was discharged after five days. Author comment: "[I]t is clear that some AEDs such as carbamazepine have the potential to cause aggravation of existing condition and even development of new episode of seizure in neurologically normal children." "Our case, however, presented with generalized tonic–clonic seizures due to carbamazepine toxicity." Benny R, et al. Carbamazepine-induced seizure in a nonepileptic child. Annals of Indian Academy of Neurology 20: 432-434, No. 4, 2017. Available from: URL: http://doi.org/10.4103/aian.AIAN_169_17 - India 803284582 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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