女67岁主因下颌抖动3个月，3个月前无明显诱因出现下颌不自主抖动，安静时明显，不影响吃饭说话，查体血压130/90下颌两侧面颊部肌肉不自主抖动，余未见异常。多普勒示；脑血管硬化。给予卡马西平治疗有效。但卡马西平不耐受。各位的诊断是神魔？各位有治疗过此种病人的有没有好办法？

此病人正在治疗，请各位版主或经历过此类病例的前辈献言献策，我的诊断是1局部神经功能紊乱？2脑血栓？

没见过此副作用。

卡马西平副作用太大，常见副作用为眩晕，剥脱皮炎等，要特别小心。特别是剥脱皮炎病人高烧，感染会出现死亡，已报道数例，我现在用此药病人签字。你这个病人可能是原发性震颤，神经内科教科书有治疗方法，或者是帕金森，看肌张力。找上级大夫看一下。

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我用卡马西平的副作用是头晕，减到1片/次后症状消失