Effective prophylactic therapy for cyclic vomiting syndrome in children using valproate.

Abstract:

:This trial sought to evaluate our experience using the antimigraine prophylactic drug, use of valproate for the prophylactic management of cyclic vomiting syndrome (CVS) in children. Thirteen children diagnosed with severe CVS were enrolled. Prophylactic therapy consisted of valproate administered at a dose of 10-40 mg/kg/day. Upon enrollment in the study, all patients underwent diagnostic tests to rule out organic causes of their symptoms. Vomiting was severe enough in all patients to cause dehydration requiring hospitalization for intravenous rehydration. Nine of 13 patients did not respond to numerous previous medical therapies like propranolol, amitriptyline, cyproheptadine, phenobarbital, phenytoin, and carbamazepine. Three of 13 patients required combination therapy with valproate and phenobarbital. Of the 13 patients, two showed complete resolution of their symptoms, nine had marked improvement in their symptoms, as evidenced by infrequent attacks of reduced severity, and two failed to respond to valproate therapy. Four patients experienced relapse with a decreased dosage of valproate. Side effects associated with long-term valproate administration were not observed. Valproate appears to be effective for the prophylactic management of severe CVS, with 85% of all patients achieving at least a reduction in the frequency of attacks.

journal_name

Brain Dev

journal_title

Brain & development

authors

Hikita T,Kodama H,Nakamoto N,Kaga F,Amakata K,Ogita K,Kaneko S,Fujii Y,Yanagawa Y

doi

10.1016/j.braindev.2008.07.005

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

411-3

issue

6

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(08)00170-8

journal_volume

31

pub_type

临床试验,杂志文章
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    abstract::l-2-Hydroxyglutaric aciduria (l-2-HGA) is a rare inborn error of metabolism. Mainly, patients with this disorder exhibit neurological symptoms and characteristic neuroradiological findings, such as subcortical white matter abnormalities, which are believed to be caused by the toxicity of the accumulation of l-2-hydrox...

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    更新日期:2000-06-01 00:00:00

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    journal_title:Brain & development

    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章

    doi:10.1016/j.braindev.2005.07.002

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    pub_type:

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  • A study on epileptic negative myoclonus in atypical benign partial epilepsy of childhood.

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    pub_type: 杂志文章

    doi:10.1016/j.braindev.2008.04.004

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    abstract::The sixth case of hydranencephaly in a twin is reported. The patient is an 11-year-old girl, and her twin was stillborn and macerated. Intrauterine disseminated intravascular coagulation may be the cause of hydranencephaly in this patient. ...

    journal_title:Brain & development

    pub_type: 杂志文章

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    journal_title:Brain & development

    pub_type: 杂志文章

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    pub_type: 杂志文章

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    journal_title:Brain & development

    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:1994-05-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1994-01-01 00:00:00

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    pub_type: 杂志文章,评审

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    更新日期:2003-10-01 00:00:00

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    更新日期:2012-09-01 00:00:00

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    pub_type: 杂志文章

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    doi:10.1016/s0387-7604(79)80046-7

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