J Korean Epilepsy Soc.  2009 Jun;13(1):27-30.

A Case of Carbamazepine-Induced Peripheral Neuropathy

Affiliations
  • 1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, Korea. ideale@empal.com

Abstract

Peripheral neuropathy is rarely caused by antiepileptic drugs andmost cases were reported about phenytoin. Here we report carbamazepine- induced peripheral neuropathy, which is a very rare condition and the pathogenesis is not well understood. A 19-year-old man presented with a several-year history of bilateral foot pain and pes planus. He had craniopharyngioma and underwent neurosurgery in 1997 and 2007. He had been prescribed by the general dose (600 mg/day) of carbamazepine since 1998 for the treatment of postoperative epilepsy. His muscle power was normal in all limbs and there were no abnormal sensory symptom and sign. Findings of electrodiagnostic studies were compatible with sensorimotor polyneuropathy with mixed axonotmesis and demyelination. His family history and genetic diagnosis excluded the possibility of hereditary neuropathy. After dose reduction of carbamazepine, his bilateral foot pain has been improved slowly. We report a case of carbamazepine-induced peripheral neuropathy.

Keyword

Antiepileptics; Carbamazepine; Drug induced neuropathy

MeSH Terms

Anticonvulsants
Carbamazepine
Craniopharyngioma
Demyelinating Diseases
Epilepsy
Extremities
Flatfoot
Foot
Humans
Muscles
Neurosurgery
Peripheral Nervous System Diseases
Phenytoin
Polyneuropathies
Young Adult
Anticonvulsants
Carbamazepine
Phenytoin
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