Possible induction of systemic lupus erythematosus by valproate.

Abstract:

:Two patients developed clinical and laboratory evidence of systemic lupus erythematosus (SLE) during treatment with valproate (VPA) preparations. The first patient, a 47-year-old man, had fever, malaise, and thrombocytopenia 1 month after VPA was added to phenytoin (PHT) and primidone (PRM). He developed high titers of antinuclear antibodies (ANA) and anti-DNA antibodies, and hypocomplementemia. After discontinuation of PHT and VPA, steroid and immunoglobulin treatment was required for 4 weeks before his condition improved. The second patient, a 28-year-old woman, had been followed for idiopathic leukopenia for 3 years and had previously experienced fever and lymphadenopathy from PHT. After 4 months of divalproex therapy, she developed confusion, joint pain, and a dramatic increase in seizure frequency. She also developed high titers of ANA and anti-DNA antibodies and hypocomplementemia, along with a further decrease in white blood cell (WBC) count. These responded to steroid therapy and withdrawal of divalproex. Three months later, reintroduction of divalproex was followed by a return of ANA in low titer, which resolved after discontinuation. We believe that VPA may have caused true SLE in these patients, one of whom was probably predisposed.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Bleck TP,Smith MC

doi

10.1111/j.1528-1157.1990.tb05386.x

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

343-5

issue

3

eissn

0013-9580

issn

1528-1167

journal_volume

31

pub_type

杂志文章
  • Effect of anticonvulsants on cortical focal seizure in cats.

    abstract::Electrical stimulation of the visual cortex evoked the cortical focal seizure restricted in the neighbor cortex of the stimulated area in gallamine-immobilized cats. The present experiment was performed to clarify the participation of anticonvulsants in the cortex itself. Phenytoin and carbamazepine depressed the foca...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb05588.x

    authors: Ito T,Hori M,Yoshida K,Shimizu M

    更新日期:1977-03-01 00:00:00

  • Benign epilepsy of children with centrotemporal EEG foci: a follow-up study in adulthood of patients initially studied as children.

    abstract::A group of patients with benign epilepsy of children with centrotemporal EEG foci, consisting of 40 patients reported 10 years ago, has been reinvestigated. Thirty-seven of these patients were reinvestigated. They were 26-34 years old (mean, 29 years). The observation time from the first seizure was 13-27 years (mean,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1982.tb05078.x

    authors: Blom S,Heijbel J

    更新日期:1982-12-01 00:00:00

  • Health-related quality of life of people with epilepsy compared with a general reference population: a Tunisian study.

    abstract:PURPOSE:The goal of the study was to assess the health-related quality of life (HRQOL) of persons with epilepsy (PWE) by using the short form survey 36 (SF-36), to compare it with that of a control group and to detect factors influencing it. METHODS:We collected clinical and demographic data and information on health ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.56903.x

    authors: Mrabet H,Mrabet A,Zouari B,Ghachem R

    更新日期:2004-07-01 00:00:00

  • Beta and gamma range EEG power-spectrum correlation with spiking discharges in DBA/2J mice absence model: role of GABA receptors.

    abstract:PURPOSE:To describe the correlations between spiking pattern and EEG power spectrum frequency in DBA/2J mice, a model for murine absence seizures, after gamma-aminobutyric acid (GABA)(B) modulation. METHODS:The animals were first tested with the GABA(B) agonist l-baclofen followed by the GABA(B) antagonist SCH 50911. ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00456.x

    authors: Marrosu F,Santoni F,Fà M,Puligheddu M,Barberini L,Genugu F,Frau R,Manunta M,Mereu G

    更新日期:2006-03-01 00:00:00

  • Hyperexcitability of CA3 pyramidal cells in mice lacking the potassium channel subunit Kv1.1.

    abstract:PURPOSE:To investigate further the membrane properties and postsynaptic potentials of the CA3 pyramidal cells in mice that display spontaneous seizures because of a targeted deletion of the Kcna1 potassium channel gene (encoding the Kv1.1 protein subunit). METHODS:Intracellular recordings were obtained from CA3 pyrami...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2003.44602.x

    authors: Lopantsev V,Tempel BL,Schwartzkroin PA

    更新日期:2003-12-01 00:00:00

  • Kentuckians' attitudes toward children with epilepsy.

    abstract::We explored Kentuckians' attitudes toward children with epilepsy. Questions compared respondents' attitudes about children with epilepsy, asthma, hyperactivity, and AIDS. Random digit dialing led to 617 completed interviews. The key questions asked concerned (a) how a pupil with each illness would alter the classroom ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb00959.x

    authors: Baumann RJ,Wilson JF,Wiese HJ

    更新日期:1995-10-01 00:00:00

  • Presurgery expectations, postsurgery satisfaction, and psychosocial adjustment after epilepsy surgery.

    abstract:PURPOSE:The medical benefits of epilepsy surgery are well documented, but the psychosocial consequences of surgery have received less attention. This is especially true of the roles of expectations and satisfaction in postsurgery functioning. The present study was designed to examine the relationships between expectati...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01410.x

    authors: Wheelock I,Peterson C,Buchtel HA

    更新日期:1998-05-01 00:00:00

  • Stereotactic radiofrequency amygdalohippocampectomy: does reduction of entorhinal and perirhinal cortices influence good clinical seizure outcome?

    abstract:PURPOSE:Stereotactic radiofrequency amygdalohippocampectomy (SAHE) has been modified recently in our center for the therapy of mesial temporal epilepsy (MTLE). It has promising clinical results comparable with microsurgical amygdalohippocampectomy despite smaller volume reduction of the hippocampus. We hypothesized tha...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03048.x

    authors: Malikova H,Liscak R,Vojtech Z,Prochazka T,Vymazal J,Vladyka V,Druga R

    更新日期:2011-05-01 00:00:00

  • Alpha-[11C]methyl-L-tryptophan uptake in patients with periventricular nodular heterotopia and epilepsy.

    abstract:BACKGROUND:Alpha-[11C]methyl-L-tryptophan (alpha-MTrp) positron emission tomography (PET) is a promising tool in the localization of the epileptogenic area in selected group of focal epilepsy patients. Electrophysiological evidence suggests the involvement of the neocortex in periventricular nodular heterotopia (PVNH)....

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01575.x

    authors: Natsume J,Bernasconi N,Aghakhani Y,Kumakura Y,Nishikawa M,Fedi M,Soualmi L,Dubeau F,Andermann F,Bernasconi A,Diksic M

    更新日期:2008-05-01 00:00:00

  • Electromyography-based seizure detector: Preliminary results comparing a generalized tonic-clonic seizure detection algorithm to video-EEG recordings.

    abstract:OBJECTIVE:Automatic detection of generalized tonic-clonic seizures (GTCS) will facilitate patient monitoring and early intervention to prevent comorbidities, recurrent seizures, or death. Brain Sentinel (San Antonio, Texas, USA) developed a seizure-detection algorithm evaluating surface electromyography (sEMG) signals ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13083

    authors: Szabó CÁ,Morgan LC,Karkar KM,Leary LD,Lie OV,Girouard M,Cavazos JE

    更新日期:2015-09-01 00:00:00

  • Use of the ketogenic diet in the neonatal intensive care unit-Safety and tolerability.

    abstract::Drug-resistant epilepsy poses a challenge in neonatal patients, especially those in the neonatal intensive care unit (NICU), who have various secondary comorbidities. We present results of four children with a history of drug-resistant epilepsy for whom a ketogenic diet was initiated and used in the NICU. A nonfasting...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13650

    authors: Thompson L,Fecske E,Salim M,Hall A

    更新日期:2017-02-01 00:00:00

  • Variability of EEG-fMRI findings in patients with SCN1A-positive Dravet syndrome.

    abstract:PURPOSE:Dravet syndrome (DS) or severe myoclonic epilepsy of infancy is an intractable epileptic encephalopathy of early childhood that is caused by a mutation in the SCN1A gene in most patients. The aim of this study was to identify a syndrome-specific epileptic network underlying interictal epileptiform discharges (I...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12119

    authors: Moehring J,von Spiczak S,Moeller F,Helbig I,Wolff S,Jansen O,Muhle H,Boor R,Stephani U,Siniatchkin M

    更新日期:2013-05-01 00:00:00

  • Study of the prevalence of epilepsy among schoolchildren in Valladolid, Spain.

    abstract::A population study was performed to estimate the prevalence of epilepsy in the juvenile population of Valladolid, Spain. Using a mixed questionnaire (postal-domiciliary), we studied a sample of 5,100 primary school pupils (aged between 6 and 14 years) and 48 pupils receiving state-run special education. We also identi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb05535.x

    authors: Ochoa Sangrador C,Palencia Luaces R

    更新日期:1991-11-01 00:00:00

  • Spared CA1 pyramidal neuron function and hippocampal performance following antisense knockdown of microRNA-134.

    abstract:OBJECTIVE:Inhibition of microRNA-134 by an oligonucleotide antagomir (ant-134) has been shown to produce powerful antiseizure effects in multiple models of epilepsy. However, to successfully translate the treatment to the clinic, it is important to assess what potential adverse effects it may have on naive brain tissue...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14475

    authors: Morris G,Brennan GP,Reschke CR,Henshall DC,Schorge S

    更新日期:2018-08-01 00:00:00

  • Successful cognitive-behavioral habituation training toward photophobia in photogenic partial seizures.

    abstract::We report on the cognitive-behavioral treatment of a 12-year-old boy with photogenic partial seizures with secondary generalization who had developed phobic avoidant behavior toward all kinds of situations with potential photostimulation, leading to serious impairments of life quality. Based on a behavioral analysis o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.24100.x

    authors: Noeker M,Haverkamp F

    更新日期:2001-05-01 00:00:00

  • Valproate and clonazepam comedication in patients with intractable epilepsy.

    abstract::The efficacy and the potential risk of inducing convulsive or nonconvulsive status epilepticus with the combination of valproate (VPA) and clonazepam (CZP), with or without other anticonvulsant drugs, in 55 patients with intractable epilepsy was evaluated. The patients were treated with VPA and CZP concomitantly for f...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05394.x

    authors: Mireles R,Leppik IE

    更新日期:1985-03-01 00:00:00

  • Increased cortical extracellular adenosine correlates with seizure termination.

    abstract:OBJECTIVE:Seizures are currently defined by their electrographic features. However, neuronal networks are intrinsically dependent on neurotransmitters of which little is known regarding their periictal dynamics. Evidence supports adenosine as having a prominent role in seizure termination, as its administration can ter...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12511

    authors: Van Gompel JJ,Bower MR,Worrell GA,Stead M,Chang SY,Goerss SJ,Kim I,Bennet KE,Meyer FB,Marsh WR,Blaha CD,Lee KH

    更新日期:2014-02-01 00:00:00

  • The epidemiology of the comorbidity of epilepsy in the general population.

    abstract:PURPOSE:To describe the epidemiology of somatic and psychiatric conditions in adults with epilepsy in the community and compare it to that of people without epilepsy. METHODS:A cross-sectional population-based study extracting data from the UK General Practice Research Database for the period 1995-1998. Age- and sex-s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.17504.x

    authors: Gaitatzis A,Carroll K,Majeed A,W Sander J

    更新日期:2004-12-01 00:00:00

  • Abnormal cortical cells and astrocytomas in the Eker rat model of tuberous sclerosis complex.

    abstract:PURPOSE:In patients with tuberous sclerosis complex (TSC), a wide range of neurologic abnormalities develop, including mental retardation and seizures. Brains from TSC patients are characterized by the presence of cortical tubers, large dysmorphic neurons, and abnormal cytomegalic cells. Although analysis of human TSC ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.23004.x

    authors: Takahashi DK,Dinday MT,Barbaro NM,Baraban SC

    更新日期:2004-12-01 00:00:00

  • Effects of temporal lobe epilepsy on retrograde memory.

    abstract:PURPOSE:In a previous investigation (Lah et al., 2004), we found deficits in retrograde memory in patients who had undergone temporal lobectomy (TL). In this study, we set out to determine whether such deficits are present before surgery in patients with temporal lobe epilepsy (TLE). METHODS:Memory for public and auto...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00476.x

    authors: Lah S,Lee T,Grayson S,Miller L

    更新日期:2006-03-01 00:00:00

  • Neurogenesis and neuronal regeneration in status epilepticus.

    abstract::Neurogenesis in the adult central nervous system has been well documented in several mammals including humans. By now, a plethora of data has been generated with the aim of understanding the molecular and cellular events governing neurogenesis. This growing comprehension will provide the basis for modulation of neurog...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12274

    authors: Rotheneichner P,Marschallinger J,Couillard-Despres S,Aigner L

    更新日期:2013-09-01 00:00:00

  • Predictors of focal to bilateral tonic-clonic seizures during long-term video-EEG monitoring.

    abstract:OBJECTIVE:To determine predictors of focal to bilateral tonic-clonic seizures (FBTCS) during video-electroencephalography (EEG) monitoring (VEM). METHODS:All adult patients undergoing presurgical VEM from 2014 to 2015 in the department of epileptology were eligible (N = 229). Those with refractory focal epilepsy and e...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16454

    authors: Pensel MC,Schnuerch M,Elger CE,Surges R

    更新日期:2020-03-01 00:00:00

  • Orthogonal wave propagation of epileptiform activity in the planar mouse hippocampus in vitro.

    abstract:PURPOSE:In vitro brain preparations have been used extensively to study the generation and propagation of epileptiform activity. Transverse and longitudinal slices of the rodent hippocampus have revealed various patterns of propagation. Yet intact connections between the transverse and longitudinal pathways should gene...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03125.x

    authors: Kibler AB,Durand DM

    更新日期:2011-09-01 00:00:00

  • Imaging the developing epileptic brain.

    abstract::Accurate identification of cortical malformations in children with epilepsy can be crucial for successful clinical management. Although standard head-coil magnetic resonance imaging (MRI) at 1.5 tesla (T) can be used to view the macrostructure of the brain, phased array technology at both 1.5 and 3T significantly impr...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.00303.x

    authors: Grant PE

    更新日期:2005-01-01 00:00:00

  • 5-Hydroxyindoleacetic acid and homovanillic acid in cerebrospinal fluid of children with febrile convulsions.

    abstract::5-Hydroxyindoleacetic acid (5-HIAA) and homovanillic acid (HVA) were measured by high-performance liquid chromatography (HPLC) in lumbar cerebrospinal fluid (CSF) obtained from febrile children subdivided according to the presence or absence of convulsions. Lumbar puncture was made either early (mean time 2 h) or late...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.1990.tb06303.x

    authors: Giroud M,Dumas R,Dauvergne M,D'Athis P,Rochette L,Beley A,Bralet J

    更新日期:1990-03-01 00:00:00

  • Surgical versus medical treatment for epilepsy. I. Outcome related to survival, seizures, and neurologic deficit.

    abstract::We conducted a retrospective parallel longitudinal cohort study comparing surgical and medical treatment for epilepsy. The surgical group contained 201 patients treated with resective surgery for epilepsy in Norway since the first operation in 1949 until January 1988. The 185 control group patients treated medically o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb04666.x

    authors: Guldvog B,Løyning Y,Hauglie-Hanssen E,Flood S,Bjørnaes H

    更新日期:1991-05-01 00:00:00

  • Postictal ammonia as a biomarker for electrographic convulsive seizures: A prospective study.

    abstract:OBJECTIVE:Transient hyperammonemia (THA) was reported to follow generalized convulsions without sufficient evidence to confirm the epileptic nature of those events. We aimed to determine if postictal THA can differentiate between different types of events as confirmed electroencephalographically using video-electroence...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13426

    authors: Albadareen R,Gronseth G,Landazuri P,He J,Hammond N,Uysal U

    更新日期:2016-08-01 00:00:00

  • Ex vivo characterization of neuroinflammatory and neuroreceptor changes during epileptogenesis using candidate positron emission tomography biomarkers.

    abstract:OBJECTIVE:Identification of patients at risk of developing epilepsy before the first spontaneous seizure may promote the development of preventive treatment providing opportunity to stop or slow down the disease. METHODS:As development of novel radiotracers and on-site setup of existing radiotracers is highly time-con...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16353

    authors: Bascuñana P,Gendron T,Sander K,Jahreis I,Polyak A,Ross TL,Bankstahl M,Arstad E,Bankstahl JP

    更新日期:2019-11-01 00:00:00

  • Quinolinic-phosphoribosyl transferase activity is decreased in epileptic human brain tissue.

    abstract::The presence of the excitotoxic and convulsant agent quinolinic acid (QUIN) in human brain has led to the hypothesis that an increase of this tryptophan metabolite could serve as an endogenous epileptogen. A possible mechanism for a pathological accumulation of QUIN being a deficiency in its degradation, we have measu...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03756.x

    authors: Feldblum S,Rougier A,Loiseau H,Loiseau P,Cohadon F,Morselli PL,Lloyd KG

    更新日期:1988-09-01 00:00:00

  • Clobazam as a new antiepileptic drug and clorazepate dipotassium as an alternative antiepileptic drug in Japan.

    abstract:PURPOSE:To confirm the efficacy and to clarify the problems of clobazam (CLB) as a new antiepileptic drug (AED) and clorazepate (CLP) as an alternative AED in Japan. METHODS:CLB and CLP were added on or replaced with conventional AEDs in 55 and 170 patients with refractory epilepsies, respectively. Short-term efficacy...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.458005.x

    authors: Sugai K

    更新日期:2004-01-01 00:00:00