在lacosamide启动后,疑似诱导性阴性肌痛
Naohiro Yamamoto1,2, Ichiro Kuki2, Takeshi Inoue2
1Department of Pediatrics, Nara Prefecture General Medical Center, Nara, Japan.
Epilepsia
|September 16, 2025
概括
拉科萨米德 (LCM) 是一种较新的药物,可以意外地引起性阴性肌 (ENM),并使儿科患者的脑电图异常恶化. 在LCM治疗期间,仔细监测这些不良反应至关重要.
科学领域:
- 神经学 神经学
- 临床电生理学 临床电生理学
- 儿科症 儿科症
背景情况:
- 已知较旧的电压通道 (VGSC) 阻塞剂会加剧.
- 关于像lacosamide (LCM) 这样的较新的VGSC抑制剂在儿科患者的作用的数据有限.
研究的目的:
- 报告和表征性负性肌肉瘤 (ENM) 在儿科患者后的lacosamide (LCM) 管理.
- 研究LCM对这些患者脑电图 (EEG) 发现的影响.
主要方法:
- 一系列病例描述了三名患有的儿科患者.
- 在LCM启动前后进行临床观察,EEG监测和电肌图 (EMG).
- 分析EEG变化和EMG确认的肌细胞结核.
主要成果:
- 这三名患者都患有ENM,其特点是清醒期间短暂的单边上肢肌肉度下降.
- 电磁显微镜证实,肌肉活动中断是以时间锁定为中心腔尖峰和波放电.
- 在所有患者中,间隔EEG恶化,在LCM启动后显示双边同步的尖和波放电.
- 在停止LCM后,ENM解决了问题.
结论:
- 拉科萨米德 (LCM) 可以在儿科患者中诱导性阴性肌 (ENM).
- 慢性脑膜炎可能会加剧潜在的EEG异常,可能引发ENM.
- 建议对儿科患者进行密切监测,以检测EEG恶化和发作恶化.
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