Carbamazepine is a drug increasingly used in a number of conditions including seizure disorders, trigeminal neuralgia, peripheral neuropathy, and occasionally psychiatric illness. We report a case of aseptic meningitis as an adverse effect of carbamazepine. The only previous report of this association is in a patient with the Sjögren syndrome.
Case Report: A 50-year-old man with a history of bipolar illness, hypertension, diabetes, and right hemiparesis from a previous stroke presented to the Palo Alto Veterans Affairs Hospital on 8 May 1989 with confusion, left-sided myoclonus, temperature of 39 °C, and a diffuse erythematous maculopapular rash. The cerebrospinal fluid showed