Abstract:
OBJECTIVE:Evaluation for surgical treatment is offered to patients who do not respond to antiepileptic drugs. Pseudo-pharmacoresistance (PPR) has been described in the context of impaired compliance, incorrect diagnosis of epilepsy or pharmacological interference resulting in too low blood levels. We were interested to determine the frequency and causes of PPR in patients admitted for presurgical evaluation. METHODS:We reviewed 553 drug levels in 199 patients and analyzed the relative frequency of drugs below reference range (10 and 20% below the range). RESULTS:Patients who had at least one serum level below the 10% cut-off amounted to 33% and 9% of patients had at least one serum level below the 20% cut-off. Only in 2 patients (1%), this was due to poor compliance. Low levels were equally frequent in mono- or polytherapy. Drugs that were most frequently found out of range were phenytoin, valproate, and topiramate. In monotherapy, lamotrigine was often prescribed in too low dosages. CONCLUSION:Low drug levels are frequently observed in surgical candidates due to pharmacological interference or insufficient dosing. Poor compliance or incorrect diagnosis does not appear to be a significant concern in this patient group. Our data strengthen the need for regular drug monitoring even in advanced chronic epilepsy to avoid unnecessary health costs by too low and ineffective dosages.
journal_name
Eur Neuroljournal_title
European neurologyauthors
Constantinescu I,Korff CM,Vulliemoz S,Picard F,Seeck Mdoi
10.1159/000479003subject
Has Abstractpub_date
2017-01-01 00:00:00pages
105-110issue
1-2eissn
0014-3022issn
1421-9913pii
000479003journal_volume
78pub_type
杂志文章abstract::The purpose of this pilot study was to determine whether 20 mg oral 311C90 can prevent the development of migraine headache when taken during the aura phase of a migraine attack. The study also aimed to provide an initial safety profile for 311C90 when taken during the aura. Forty patients (31 females, 9 males) were e...
journal_title:European neurology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1159/000119101
更新日期:1996-01-01 00:00:00
abstract::A 49-year-old alcoholic woman was admitted for convulsions. She died after a 4-week clinical course characterized by a persistent coma with diffuse muscular hypertonia. Post-mortem examination of the brain demonstrated a spongy degeneration and gliosis of the cerebral cortex, limited to the 3rd and the 4th layers. No ...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000114939
更新日期:1978-01-01 00:00:00
abstract:OBJECTIVE:The history of Sayk's cell sedimentation chamber is examined and reviewed in the context of clinically utilizable cerebrospinal fluid (CSF) cytology. METHODS:A review of the literature was undertaken in PubMed and Google Scholar to search for primary and secondary sources on the history of CSF diagnosis. Mor...
journal_title:European neurology
pub_type: 历史文章,杂志文章
doi:10.1159/000456003
更新日期:2017-01-01 00:00:00
abstract::Marcel Proust is one of the most important French writers of the 20th century. His relationship with medicine and with neurology is possibly linked to the fact that his asthma was considered to be a psychosomatic disease classified as neurasthenia. Stendhal's syndrome is a rare psychiatric syndrome characterized by an...
journal_title:European neurology
pub_type: 传,历史文章,杂志文章
doi:10.1159/000357562
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Platelet counts (PCs) <100,000/µl are considered as a contraindication for intravenous thrombolysis (IVT). While US guidelines recommend IVT initiation before the availability of clotting tests, the guidelines of the European Stroke Organization give no such practical advice. We aimed to assess the incidence...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000345702
更新日期:2013-01-01 00:00:00
abstract::The authors report a case of a giant aneurysm of the distal portion of the posterior inferior cerebellar artery presenting the classical picture of a tumor of the posterior fossa. CT scan of a giant aneurysm reveals the clear margin and high density area of aneurysm wall, and the homogeneous and high density area of t...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000115108
更新日期:1979-01-01 00:00:00
abstract::31 children aged between 6 weeks and 15 years, who had suffered a stroke, were investigated by computer tomography (CT). 8 patients had suffered transient ischemic attacks (TIA), 17 had completed ischemic strokes and 6 had hemorrhagic strokes. The mean interval between the stroke and the first CT investigation was 5 d...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000115486
更新日期:1982-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1159/000117053
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Tuberculous meningitis is the severest and commonest form of central nervous system tuberculosis causing high mortality and morbidity. We aim to study the clinical, biochemical, and radiological characteristics of tuberculous meningitis in adult patients in Qatar and to calculate the incidence. METHODS:A de...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000368894
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000115010
更新日期:1978-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000057897
更新日期:2002-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000115177
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:Neurosyphilis (NS) is nowadays a less frequent disease. Its incidence and clinical spectrum have changed over time. OBJECTIVE:To estimate the incidence of NS and describe the clinical spectrum of NS in immunocompetent patients in the last decade. METHODS:Demographic and clinical features, cerebrospinal flu...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000079391
更新日期:2004-01-01 00:00:00
abstract::70 cases of multiple sclerosis were seen at the Department of Neurology of the Capital Hospital in 1949--1977. There were 25 males and 45 females averaging 30.6 years of age. The most frequent sites of the lesions based on the clinical symptomatology were the spinal cord and optic nerve, the cerebellum was much less f...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000115267
更新日期:1981-01-01 00:00:00
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journal_title:European neurology
pub_type: 临床试验,杂志文章
doi:10.1159/000007915
更新日期:1998-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000324335
更新日期:2011-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000082162
更新日期:2004-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000116971
更新日期:1993-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
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更新日期:1986-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1159/000285165
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pub_type: 杂志文章
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journal_title:European neurology
pub_type: 临床试验,杂志文章
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更新日期:2010-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000117041
更新日期:1994-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000345272
更新日期:2013-01-01 00:00:00
abstract::The authors themselves studied 26 patients. The EEGs were classified in terms of increasing severity in 5 categories. Incorporating over 400 cases from the literature, the authors correlated the initial EEG findings with the clinical outcome following cardiac arrest. Grade I EEG findings (normal alpha with theta-delta...
journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000116329
更新日期:1987-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000342907
更新日期:2013-01-01 00:00:00
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journal_title:European neurology
pub_type: 临床试验,杂志文章
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更新日期:2012-01-01 00:00:00
abstract::The management of early Parkinson's disease (PD) involves the treatment of motor symptoms and, increasingly, non-motor symptoms. Given the fast pace of clinical research in PD, clinicians are faced with the challenge of integrating the latest findings into the ongoing care of individual PD patients. Part 1 of this 2-p...
journal_title:European neurology
pub_type: 杂志文章,评审
doi:10.1159/000197103
更新日期:2009-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章,评审
doi:10.1159/000007935
更新日期:1998-01-01 00:00:00
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journal_title:European neurology
pub_type: 杂志文章
doi:10.1159/000115052
更新日期:1979-01-01 00:00:00