Smith 曾于1991年报道1例卡马西平有关的脑脊髓病,认为是一种特异性反应。本文报告1例患左中脑巨大动脉瘤而于2年前动过手术的71岁妇女。因突然失语及2次强直阵挛性癫痫大发作而就诊。给予静脉注射小剂量劳拉西泮及苯妥英。除嗜睡外,患者未再出现全身性癫痈发作,但其失语症状仍很明显。头颅 CT 仅示一些与早先手术有关的 Smith reported in 1991 one case of carbamazepine-related brain myelopathy, that is a specific reaction. This article reports a 71-year-old woman who has had a giant left-middle cerebral artery aneurysm who had surgery two years ago. Due to sudden aphasia and 2 tonic clonic epilepsy episodes. Intravenous injection of low-dose lorazepam and phenytoin. In addition to lethargy, the patient no longer had a generalized epileptic seizure, but his aphasia remained significant. Head CT shows only some of the previous surgery