斉藤 聡志
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Four Cases of Suspected Levetiracetam-Induced Asymptomatic Rhabdomyolysis.
Journal Formal name:Cureus
Abbreviation:Cureus
ISSN code:21688184/21688184
Domestic / ForeginForegin
Volume, Issue, Page 15(7),pp.e41666
Author and coauthor Saito Satoshi, Iijima Mutsumi, Ikeguchi Ryotaro, Ishizuka Kentaro, Kitagawa Kazuo
Authorship Lead author,Corresponding author
Publication date 2023/07
Summary Rhabdomyolysis is a known side effect of levetiracetam. In general, a patient with rhabdomyolysis complains of muscle pain and swelling. Herein, we report four cases of asymptomatic levetiracetam-induced rhabdomyolysis. In all the four cases, the seizures resolved after more than five days. The patients received continuous fluid replacement from the time they were admitted to our hospital. However, serum creatine kinase (CK) levels continued to rise without symptoms consistent with rhabdomyolysis. The serum CK level improved rapidly when levetiracetam was replaced with lacosamide. Because levetiracetam occasionally causes asymptomatic rhabdomyolysis, routine blood tests should be performed after its initiation.
DOI 10.7759/cureus.41666
PMID 37575737