Reversible valproate-induced choreiform movements

Valproate is an anticonvulsive drug whose mechanism of action is based on GABAergic systems. One of the infrequent adverse effects of valproate is choreiform movements. In our study, we report a patient having head trauma history with partial and secondary generalized seizures taking 1500 mg/day val...

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Veröffentlicht in:Seizure (London, England) England), 2002-04, Vol.11 (3), p.205-206
Hauptverfasser: Gunal, Dilek Ince, Guleryuz, Meliha, Bingol, Canan Aykut
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Guleryuz, Meliha
Bingol, Canan Aykut
description Valproate is an anticonvulsive drug whose mechanism of action is based on GABAergic systems. One of the infrequent adverse effects of valproate is choreiform movements. In our study, we report a patient having head trauma history with partial and secondary generalized seizures taking 1500 mg/day valproate. During the second month of the therapy, generalized chorea was observed. Since other aetiologic causes of chorea were excluded, acutely occurring chorea in the patient was thought to be related with valproate usage because of persistence of choreiform movements for days without any fluctuation. Valproate was stopped slowly and lamotrigine was added at a dose of 400 mg/day. Within a two-month period after cessation of the valproate, choreiform movements had disappeared. We thought that the history of head trauma and another antiepileptic drug usage were the risk factors for the occurrence of valproate-induced choreiform movements.
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subjects Adult
Anticonvulsants - adverse effects
chorea
Chorea - chemically induced
Craniocerebral Trauma - complications
Epilepsy - complications
Epilepsy - drug therapy
Epilepsy - physiopathology
extrapyramidal
Humans
Male
reversible
Time Factors
valproate
Valproic Acid - adverse effects
title Reversible valproate-induced choreiform movements
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