Visual Field Defect in a Patient Given Sodium Valproate Then Carbamazepine: Possible Effect of Aminotransferase Inhibition

    April 2002 in “ PubMed
    Ph Jung, S Doussard-Lefaucheux
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    Studysummary This case report documents a young woman who experienced a visual field defect similar to those linked to vigabatrin use, despite treatment only with valproic acid and carbamazepine, suggestive of a possible metabolic vulnerability in certain patients with specific genetic backgrounds.
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    A 25-year-old woman treated with valproic acid and then carbamazepine for epilepsy developed a visual field defect similar to those seen with vigabatrin, despite not using vigabatrin. The case also involved trichorrhexis nodosa, a hair condition linked to metabolic disturbances in the urea cycle, suggesting that aminotransferase inhibition might cause various side effects, including visual abnormalities and alopecia, particularly in genetically predisposed individuals.
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