岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
症例報告
癌告知後の精神症状の治療に難渋したてんかん既往のある癌患者の1例
南 大輔市原 英基岡部 伸幸横道 直佑高下 典子鍛治園 誠秋元 悠堀 圭介松原 稔那須 淳一郎谷本 光音木浦 勝行松岡 順治
著者情報
キーワード: てんかん, 易怒性, 適応障害
ジャーナル フリー

2014 年 126 巻 2 号 p. 133-135

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 A 58-year-old man with cervical esophageal cancer and a history of epilepsy was treated with chemoradiotherapy from May of 2013. When tube feeding was initiated due to aspiration pneumonitis, the patient showed a degree of irritability that affected routine staff work and treatment compliance. We attempted to perform supportive care for maladjustment by the notice, the fast, and the tube feeding, but there was no improvement. After we added carbamazepine, primidone, and propericiazine (which had been canceled at the initiation of the tube feeding) to the patient's intravenous phenytoin, the symptoms and treatment compliance improved significantly. We concluded that the causes of the patient's irritability were maladjustment and his epilepsy.

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© 2014 岡山医学会
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