AI Article Synopsis

  • Transient lesions in the splenium of the corpus callosum (SCC) can occur after stopping certain antiepileptic drugs (AED), but the reasons for this are not fully understood.
  • A case study of a schizophrenic patient who experienced a SCC lesion after discontinuing carbamazepine, an AED, revealed that the lesion coincided with the development of diabetes insipidus, which is linked to a lack of arginine-vasopressin (AVP).
  • The findings suggest that stopping carbamazepine may lead to AVP deficiency, potentially contributing to the formation of transient SCC lesions.

Article Abstract

Transient lesions at the splenium of the corpus callosum (SCC) have been reported after withdrawal of specific antiepileptic drugs (AED), though the pathophysiology of the lesions remains unclear. We examined and treated a schizophrenic patient who developed a transient SCC lesion after withdrawal of the AED, carbamazepine. Interestingly, the SCC lesion was accompanied by the onset of diabetes insipidus, a state of arginine-vasopressin (AVP) insufficiency. Because carbamazepine is shown to potentiate the effect of AVP, our case suggests that an insufficiency of AVP followed by withdrawal of AED could contribute to the pathogenesis of a transient SCC lesion.

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http://dx.doi.org/10.2463/mrms.5.211DOI Listing

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