Clinical monitoring during carbamazepine slow-release, once-daily monotherapy.

Abstract:

:Forty-eight patients with complex partial and/or tonic-clonic seizures were treated with an 8 p.m. single dose of carbamazepine slow release (CBZ-SR) monotherapy. The steady-state serum level profiles of carbamazepine (CBZ) and its metabolites CBZ-10,11-epoxide (CBZE) and 10,11-dihydro-CBZ-10,11-diole (CBZD) during 24 h in 21 of 48 patients treated with daily single doses of 8.4 (+/- 2.4) mg/kg body weight CBZ-SR were determined by a high-performance liquid chromatography procedure. The 8 a.m. CBZ levels correlated very well with the mean CBZ levels of the 24-h profile. Unlike CBZD, the individual 24-h mean CBZE levels also correlated well with the respective CBZ levels (CBZE = 14.2% +/- 2.9 of CBZ). Increasing CBZ-SR doses does not result in a proportional increase of CBZ levels. Clinical efficacy of changing from CBZ standard tablets under mono- or combination therapy or from therapy with other antiepileptic drugs to once-daily evening CBZ-SR monotherapy or commencement CBZ-SR therapy in previously untreated patients was monitored in 35 of 48 patients for a period of 8 months to 2 years. Complete seizure control was observed in 51% of patients and more than 75% reduction of seizure frequency in 14%. Eight of 11 previously untreated patients became seizure free. With change from CBZ monotherapy to CBZ-SR single-dose therapy, five of six patients became seizure free. Changing from other therapeutic regimens to CBZ-SR once-daily evening monotherapy was less successful.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Stefan H,Schäfer H,Kuhnen C,Schneider S

doi

10.1111/j.1528-1157.1988.tb03763.x

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

571-7

issue

5

eissn

0013-9580

issn

1528-1167

journal_volume

29

pub_type

杂志文章
  • Dipropylacetic acid (Depakine) in experimental epilepsy in the alert cat.

    abstract::The effect od dipropylacetic acid (DPA; Depakine) on the bemegride-induced convulsive threshold was investigated in alert cats. Forty-five min after DPA 200 mg/kg, s.c., no significant effect was obtained; 5 min after the same dose iv., protection from bemegride-induced seizures was pronounced. DPA did not decrease fo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb04724.x

    authors: van Duijn H,Beckmann MK

    更新日期:1975-03-01 00:00:00

  • Sudden unexplained death among subjects with refractory epilepsy.

    abstract:PURPOSE:To address concerns about possible increases in rates of sudden unexplained death (SUD) after use of new anticonvulsants, more information on the rate of SUD among subjects with refractory epilepsy is needed to provide a comparison. METHODS:We conducted a study to estimate the incidence of SUD among subjects y...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00529.x

    authors: Derby LE,Tennis P,Jick H

    更新日期:1996-10-01 00:00:00

  • Development of visual attention in West syndrome.

    abstract:PURPOSE:To study prospectively the evolution of visual attention in children with West syndrome to evaluate its development before the onset of spasms, its possible deterioration as a consequence of epileptic disorders, and its outcome at the age of 2 years, and the possible relation between the impairment of visual at...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.34601.x

    authors: Guzzetta F,Frisone MF,Ricci D,Randò T,Guzzetta A

    更新日期:2002-07-01 00:00:00

  • Tonic and atonic seizures: what's next--VNS or callosotomy?

    abstract::Medically intractable tonic and atonic seizures may be responsive to either vagus nerve stimulation (VNS) or corpus callosum section. VNS has been shown to be effective and is associated with very low morbidity. Callosotomy is a more ambitious procedure, with a higher risk of complications but greater likelihood of se...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2009.02232.x

    authors: Rosenfeld WE,Roberts DW

    更新日期:2009-09-01 00:00:00

  • Epileptiform EEG activities of the centromedian thalamic nuclei in patients with intractable partial motor, complex partial, and generalized seizures.

    abstract::Centromedian thalamic nuclei (CM) epileptiform EEG activities were recorded in patients with intractable partial motor, complex partial, and generalized seizures through implanted recording-stimulating electrodes, used for seizure control. CM epileptiform activities showed either little or no correlation to focal surf...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05301.x

    authors: Velasco M,Velasco F,Velasco AL,Luján M,Vázquez del Mercado J

    更新日期:1989-05-01 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

  • Childhood absence epilepsy: evolution and prognostic factors.

    abstract:PURPOSE:To evaluate how diagnostic criteria influence remission rates for patients with childhood absence epilepsy (CAE) and to assess clinical and EEG parameters as predictors of outcome. METHODS:One hundred nineteen patients were diagnosed with CAE, according to International League Against Epilepsy (ILAE) classific...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.00277.x

    authors: Grosso S,Galimberti D,Vezzosi P,Farnetani M,Di Bartolo RM,Bazzotti S,Morgese G,Balestri P

    更新日期:2005-11-01 00:00:00

  • A mouse model of seizures in anti-N-methyl-d-aspartate receptor encephalitis.

    abstract:OBJECTIVE:Seizures develop in 80% of patients with anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis, and these represent a major cause of morbidity and mortality. Anti-NMDAR antibodies have been linked to memory loss in encephalitis; however, their role in seizures has not been established. We determined whether...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14662

    authors: Taraschenko O,Fox HS,Pittock SJ,Zekeridou A,Gafurova M,Eldridge E,Liu J,Dravid SM,Dingledine R

    更新日期:2019-03-01 00:00:00

  • Loss of hilar mossy cells in Ammon's horn sclerosis.

    abstract:PURPOSE:Hilar mossy cells represent an important excitatory subpopulation of the hippocampal formation. Several studies have identified this cell type as particularly vulnerable to seizure activity in rat models of limbic epilepsy. Here we have subjected hilar mossy cell loss in the hippocampus of patients with chronic...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb01577.x

    authors: Blümcke I,Suter B,Behle K,Kuhn R,Schramm J,Elger CE,Wiestler OD

    更新日期:2000-01-01 00:00:00

  • The axial spasm--the predominant type of drop seizure in patients with secondary generalized epilepsy.

    abstract::In 45 patients suffering from secondary generalized epilepsy, we have recorded 239 drop seizures both by radio-telemetered EEG/split-screen video taping and polygraphically. Twenty of these patients had pure tonic drop seizures. Nine patients each had myoclonic-atonic or pure atonic seizures, whereas seven had slow fa...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05671.x

    authors: Egli M,Mothersill I,O'Kane M,O'Kane F

    更新日期:1985-09-01 00:00:00

  • In vivo optical properties of cortical tubers in children with tuberous sclerosis complex (TSC): a preliminary investigation.

    abstract:PURPOSE:Medically refractory epilepsy caused by cortical tubers resulting from tuberous sclerosis complex (TSC) often requires surgical intervention. The locations of cortical tubers generally are determined by preoperative magnetic resonance imaging (MRI). In this pilot study, we explored the feasibility of using the ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03167.x

    authors: Oh S,Stewart T,Miller I,Bhatia S,Ragheb J,Duchowny M,Jayakar P,Lin WC

    更新日期:2011-09-01 00:00:00

  • Defining the phenotype of FHF1 developmental and epileptic encephalopathy.

    abstract::Fibroblast growth-factor homologous factor (FHF1) gene variants have recently been associated with developmental and epileptic encephalopathy (DEE). FHF1 encodes a cytosolic protein that modulates neuronal sodium channel gating. We aim to refine the electroclinical phenotypic spectrum of patients with pathogenic FHF1 ...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.16582

    authors: Trivisano M,Ferretti A,Bebin E,Huh L,Lesca G,Siekierska A,Takeguchi R,Carneiro M,De Palma L,Guella I,Haginoya K,Shi RM,Kikuchi A,Kobayashi T,Jung J,Lagae L,Milh M,Mathieu ML,Minassian BA,Novelli A,Pietrafusa N,T

    更新日期:2020-07-01 00:00:00

  • Traumatic brain injury: risks of epilepsy and implications for medicolegal assessment.

    abstract::Traumatic brain injury (TBI) is a potentially preventable cause of epilepsy. Increasing incidence among army personnel and the high incidence among children and young people raise concern. This article presents a review of selected studies dealing with the risks of TBI and the risk of posttraumatic epilepsy in humans....

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03612.x

    authors: Christensen J

    更新日期:2012-09-01 00:00:00

  • Induction of new carbonic anhydrase II following treatment with acetazolamide in DBA and C57 mice.

    abstract::The mechanism by which animals develop tolerance to the antiepileptic effects of the carbonic anhydrase (CA) inhibitor, acetazolamide, was explored using a quantitative immunocytochemical method. Cerebral cortex sections of DBA/2J mice susceptible to audiogenic seizures and of C57BL/6J nonsusceptible mice were stained...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03576.x

    authors: Banks DA,Anderson RE,Woodbury DM

    更新日期:1986-09-01 00:00:00

  • Prevalence and clinical features of epilepsy in a biracial United States population.

    abstract::A need for prevalence information emphasizing racial differences prompted a door-to-door survey of all residents of Copiah County, Mississippi. The fieldwork involved a complete census and an extensive screening questionnaire inquiring about diagnoses, signs, and symptoms of neurologic disease. Residents who lived in ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03503.x

    authors: Haerer AF,Anderson DW,Schoenberg BS

    更新日期:1986-01-01 00:00:00

  • Aggravation of generalized epilepsies.

    abstract::Generalized epilepsies are treatable with a number of antiepileptic drugs (AEDs) that are effective in different seizure types and epilepsy syndromes. The mechanisms of action of these AEDs are incompletely understood but include inhibition of low-threshold calcium currents and of voltage-gated sodium channels and fac...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1998.tb05115.x

    authors: Berkovic SF

    更新日期:1998-01-01 00:00:00

  • Reduction of duration and severity of megimide seizures in rats on a folic acid deficient diet.

    abstract::Folic acid deficient diet reduces the duration and severity of intravenous megimide seizures in the rat after 6 months of diet. Plasma and serum folate levels are strongly reduced after that period. The difference between Lactobacillus casei and Streptococcus faecalis activity in brain show a slight, but not significa...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb04987.x

    authors: Hommes OR,ten Berge EJ,Jansen MJ,Kok JC

    更新日期:1977-12-01 00:00:00

  • The value of EEG-fMRI and EEG source analysis in the presurgical setup of children with refractory focal epilepsy.

    abstract:PURPOSE:In the presurgical evaluation of children and juvenile patients with refractory focal epilepsy, the main challenge is to localize the point of seizure onset as precisely as possible. We compared results of the conventional electroencephalography-functional magnetic resonance imaging (EEG-fMRI) analysis with tho...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03587.x

    authors: Elshoff L,Groening K,Grouiller F,Wiegand G,Wolff S,Michel C,Stephani U,Siniatchkin M

    更新日期:2012-09-01 00:00:00

  • Functional analysis of epilepsy-associated variants in STXBP1/Munc18-1 using humanized Caenorhabditis elegans.

    abstract:OBJECTIVE:Genetic variants in STXBP1, which encodes the conserved exocytosis protein Munc18-1, are associated with a variety of infantile epilepsy syndromes. We aimed to develop an in vivo Caenorhabditis elegans model that could be used to test the pathogenicity of such variants in a cost-effective manner. METHODS:The...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16464

    authors: Zhu B,Mak JCH,Morris AP,Marson AG,Barclay JW,Sills GJ,Morgan A

    更新日期:2020-04-01 00:00:00

  • Variation of seizure frequency with ovulatory status of menstrual cycles.

    abstract:PURPOSE:To determine if seizure frequency differs between anovulatory and ovulatory cycles. METHODS:The data came from the 3-month baseline phase of an investigation of progesterone therapy for intractable focal onset seizures. Of 462 women who enrolled, 281 completed the 3-month baseline phase and 92 had both anovula...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2011.03194.x

    authors: Herzog AG,Fowler KM,Sperling MR,Liporace JD,Kalayjian LA,Heck CN,Krauss GL,Dworetzky BA,Pennell PB,Progesterone Trial Study Group.

    更新日期:2011-10-01 00:00:00

  • Temporal lobe epilepsy in children: etiology in a cohort with new-onset seizures.

    abstract:PURPOSE:The aim of this study was to characterize the incidence and etiology of temporal lobe epilepsy (TLE) in a community-based cohort of children with new-onset disease. METHODS:A community-based cohort of 30 children with TLE was studied. The patients had new-onset disease before age 14 years between 1995 and 1999...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.24201.x

    authors: Sztriha L,Gururaj AK,Bener A,Nork M

    更新日期:2002-01-01 00:00:00

  • The teratogenic risk of antiepileptic drug polytherapy.

    abstract:PURPOSE:To compare the risks of fetal malformation during pregnancy associated with antiepileptic drug (AED) polytherapy and monotherapy. METHODS:Statistical analysis of malformation rate and antiepileptic drug exposure data from the Australian Register of Antiepileptic Drugs in Pregnancy, and from the literature. RE...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2009.02336.x

    authors: Vajda FJ,Hitchcock AA,Graham J,O'Brien TJ,Lander CM,Eadie MJ

    更新日期:2010-05-01 00:00:00

  • Development of a genomics module within an epilepsy-specific electronic health record: Toward genomic medicine in epilepsy care.

    abstract:OBJECTIVES:Both clinical genomics and e-Health technology are changing the way medicine is being practiced. Although the basic clinical methodology of good medical care will remain unchanged, the combined power of genomics and electronic health records has the capability of enhancing, and in some cases transforming, th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16278

    authors: Delanty N,White M,Benson K,McCormack M,Heavin S,Comerford E,Gangadharan N,Power K,Dunleavey B,El-Naggar H,Doherty C,Greally M,Cavalleri G,Fitzsimons M

    更新日期:2019-08-01 00:00:00

  • Unconsciousness, automatisms, and myoclonic jerks with diffuse rhythmic 9-Hz discharges.

    abstract::A 25-year-old man presented with seizures characterized by unconsciousness, automatic behavior, and myoclonic jerks lasting 0.5 to 8 sec. Videotape analysis of 300 simultaneously recorded electroencephalographic and clinical attacks revealed 8- to 9-Hz 150 to 200 muV sharp waves beginning in both medial temporal areas...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb06081.x

    authors: Nadel A,Waddell G,Volow M,Escueta AV

    更新日期:1975-09-01 00:00:00

  • Knowledge, attitude, and practice toward epilepsy among rural Tanzanian residents.

    abstract::Before a health education program can be established, one must first know what the target population believes and does with respect to the disease in question. Therefore, we performed a study among Tanzanian rural inhabitants to identify their knowledge, attitude, and practice (KAP) toward epilepsy: 3,256 heads of hou...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02127.x

    authors: Rwiza HT,Matuja WB,Kilonzo GP,Haule J,Mbena P,Mwang'ombola R,Jilek-Aall L

    更新日期:1993-11-01 00:00:00

  • Conduct of trials in private clinical practice.

    abstract:PURPOSE:Trials of antiepileptic medications are usually based in tertiary referral centers with teaching hospital resources. Epilepsy Research & Services (ERS) is part of a private outpatient neurological clinic that is involved in research as part of multicenter clinical trials, adhering to Good Clinical Research Prac...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00256.x

    authors: Beran RG,Beran ME

    更新日期:2000-07-01 00:00:00

  • Distribution of seizure types in an epileptic population.

    abstract::The distribution of seizure types was investigated in an epidemiological survey of 1,220 patients over 15 years of age. Classification of clinically dominant seizure type according to the International Classification of Epileptic Seizures (ICES) was possible in 1,005 cases (82.5%). Fifty-six percent of patients had pa...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb05089.x

    authors: Keränen T,Sillanpää M,Riekkinen PJ

    更新日期:1988-01-01 00:00:00

  • Focal to bilateral tonic-clonic seizures are associated with widespread network abnormality in temporal lobe epilepsy.

    abstract:OBJECTIVE:Our objective was to identify whether the whole-brain structural network alterations in patients with temporal lobe epilepsy (TLE) and focal to bilateral tonic-clonic seizures (FBTCS) differ from alterations in patients without FBTCS. METHODS:We dichotomized a cohort of 83 drug-resistant patients with TLE in...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16819

    authors: Sinha N,Peternell N,Schroeder GM,de Tisi J,Vos SB,Winston GP,Duncan JS,Wang Y,Taylor PN

    更新日期:2021-01-21 00:00:00

  • Antiepileptic drug interactions.

    abstract::This article reviews the potential interactions of antiepileptic drugs (AEDs) and the pharmacokinetic and pharmacodynamic principles involved. It describes the absorptive and distributive properties of AEDs and the effects on protein binding, hepatic metabolism, and elimination resulting from co-administration of AEDs...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.2000.tb02944.x

    authors: French JA,Gidal BE

    更新日期:2000-01-01 00:00:00

  • Ictal onset on intracranial EEG: Do we know it when we see it? State of the evidence.

    abstract:OBJECTIVE:A major limitation of intracranial electroencephalography (iEEG) is recording from a confined region. This may falsely localize seizure onset if the distinction between ictal onset zone, proximity, and spread is unclear, or if the ictal rhythm is not clearly identified. Delineation of the ictal onset zone is ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13120

    authors: Singh S,Sandy S,Wiebe S

    更新日期:2015-10-01 00:00:00