Suppression of antiepileptic treatment.

Abstract:

:The present report evaluates the suppression of antiepileptic drugs in a group of 608 epileptics. Conditions for the suppression of antiepileptic treatment included a previous seizure-free period of 5 years under medication, and a careful evaluation of individual social and work-related circumstances. The reduction of medication was realized during a minimum period of 1 year, passing from eventual polytherapy to monotherapy. Of the total 608 epileptics in whom treatment was suppressed, 144 relapses (23.7%) occurred, and 464 (76.3%) patients continued to be seizure-free. A complete remission of the epilepsy was achieved in 14.3% of 3,254 epileptics with an adequate follow-up. Significant risk factors for recurrence included a delay in starting anticonvulsant therapy; symptomatic generalized epilepsy; different types of combined seizures, or atypical absences and/or tonic crisis and/or atonic crisis; or partial complex associated with secondary generalized tonic-clonic seizures; the presence of status epilepticus in the course of the disease and permanent neurologic damage. With the patient's prior agreement, it was possible to suppress anticonvulsant medication in one fourth of nonselected epileptic patients with a possibility of relapse in about 25% of the cases (generally one isolated seizure).

journal_name

Eur Neurol

journal_title

European neurology

authors

Oller-Daurella L,Oller L

doi

10.1159/000116141

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

106-13

issue

2

eissn

0014-3022

issn

1421-9913

journal_volume

27

pub_type

杂志文章
  • Cerebral Cavernous Malformations, Developmental Venous Anomaly, and Its Coexistence: A Review.

    abstract:BACKGROUND:Cerebral cavernous malformations (CCMs) are intracranial vascular malformations that can exist as a single lesion or mixed vascular lesions. The most common mixed form is the coexistence of CCM with an associated developmental venous anomaly (DVA). In this paper, we aim to give a comprehensive review of CCM,...

    journal_title:European neurology

    pub_type: 杂志文章,评审

    doi:10.1159/000508748

    authors: Idiculla PS,Gurala D,Philipose J,Rajdev K,Patibandla P

    更新日期:2020-01-01 00:00:00

  • Cognitive Function and Prognosis of Multimodal Neuroimage-Guided Thrombectomy on Mild to Moderate Anterior Circulation Infarction Patients with Broadened Therapeutic Window: A Prospective Study.

    abstract:BACKGROUND AND OBJECTIVES:Endovascular mechanical thrombectomy is an important approach for acute ischemic stroke (AIS) treatment. Multimodal neuroimaging methods ideally provide the exact localization, extent, and metabolic activity of target tissues. Post-stroke cognitive impairment has recently been realized to be a...

    journal_title:European neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000479735

    authors: Xu G,Dong X,Niu X,Zheng G,Wang H,Zhang F,Li L,Lv P

    更新日期:2017-01-01 00:00:00

  • Neurophysiological diagnosis of acquired sensory ganglionopathies.

    abstract::We examined 29 patients with chronic progressive ganglionopathy of different etiology. Neurophysiological abnormalities were dominated by a widespread decrease in sensory nerve action potential amplitudes, which involved both upper and lower limb nerves, even in patients with asymmetrical or patchy clinical presentati...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000073055

    authors: Lauria G,Pareyson D,Sghirlanzoni A

    更新日期:2003-01-01 00:00:00

  • CT techniques.

    abstract::Since the advent of whole-body CT scanning in 1974, many studies have been made in its application to all parts of the body. One of the most fruitful areas has been CT of the spinal cord. The only limitation appears to be the technique used; there is no substitute for a good technique. We shall first review standard C...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000115482

    authors: Ledley RS

    更新日期:1982-01-01 00:00:00

  • Local cerebral glucose utilization in the newborn brain.

    abstract::Local cerebral glucose utilization (LCGU) was determined in 2- to 8-day-old beagle dogs by the quantitative 14C-deoxyglucose autoradiographic method. In physiologically controlled puppies (BP 66 +/- 3 mm Hg; paO2 71 +/- 2 mm Hg; paCO2 35 mm Hg, pH 7.39 +/- 0.04; hematocrit 39 +/- 2%), the 2-deoxyglucose (2-DG) autorad...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000115226

    authors: Grégoire N,Pontier R,Salamon G

    更新日期:1981-01-01 00:00:00

  • Sensory signs and symptoms in scapuloperoneal atrophy: a report of a family.

    abstract::A Norwegian family with asymmetrical scapuloperoneal atrophy is described. Chronic, aching shoulder pain, slight proximal and distal sensory dysfunction, and atrophy of the extensor digitorum brevis muscle occurred in some individuals. The proband had slightly impaired sensory conduction velocity, and his father exhib...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000115834

    authors: Sand T,Hestnes A

    更新日期:1985-01-01 00:00:00

  • Stroke prediction after transient ischemic attacks in patients admitted to a stroke unit.

    abstract:BACKGROUND:Transient ischemic attacks (TIAs) bear a presumed high risk of early recurrence of stroke. Data in the literature, however, are inconsistent, as recurrence rates range from 9.5 to 20%, at 90 days. AIMS:The study was designed to determine the risk of stroke after TIA. METHODS:94 consecutive patients referre...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000332999

    authors: Tari Capone F,Cavallari M,Casolla B,Caselli G,Pieroni A,Di Lazzaro V,Napolitano S,Stanzione P,Puca E,Toni D,Rasura M,Orzi F

    更新日期:2012-01-01 00:00:00

  • Rotigotine Improves Abnormal Circadian Rhythm of Blood Pressure in Parkinson's Disease.

    abstract:INTRODUCTION:Cardiovascular autonomic failure is commonly associated with Parkinson's disease (PD), affecting the daily lives of patients. Rotigotine was recently reported not to influence cardiovascular autonomic responses in contrast to other dopaminergic drugs. The effect of rotigotine on daily blood pressure (BP) f...

    journal_title:European neurology

    pub_type: 临床试验,杂志文章

    doi:10.1159/000489574

    authors: Oka H,Nakahara A,Umehara T

    更新日期:2018-01-01 00:00:00

  • Migraine and Headache Prevalence and Associated Comorbidities in a Large Saudi Sample.

    abstract:BACKGROUND:We aimed to assess the prevalence of headache and migraine, along with comorbidities, in a large -Saudi sample. METHODS:Self-reported information was collected about headache, migraine and migraine comorbidities including depression, restless legs syndrome (RLS), syncope, bruxism, hypertension and ischaemic...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000487317

    authors: Muayqil T,Al-Jafen BN,Al-Saaran Z,Al-Shammari M,Alkthiry A,Muhammad WS,Murshid R,Alanazy MH

    更新日期:2018-01-01 00:00:00

  • The clinical profile of sumatriptan: efficacy in migraine.

    abstract::The efficacy of the 5-HT1 receptor agonist sumatriptan in the acute treatment of migraine has been investigated in an extensive programme of controlled clinical trials. Sumatriptan provided rapid relief from migraine headache with onset of relief occurring within 10 min of a 6 mg subcutaneous injection and within 30 m...

    journal_title:European neurology

    pub_type: 杂志文章,评审

    doi:10.1159/000119529

    authors: Pilgrim AJ

    更新日期:1994-01-01 00:00:00

  • Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic.

    abstract:BACKGROUND:Dizziness and vertigo are frequent complaints of outpatients in the neurological department. Our objective was to explore the epidemiological category and clinical features of patients with dizziness or vertigo in the neurological outpatient department of a tertiary hospital. METHODS:We consecutively recrui...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000489639

    authors: Pan Q,Zhang Y,Long T,He W,Zhang S,Fan Y,Zhou J

    更新日期:2018-01-01 00:00:00

  • T lymphocytes in cerebrospinal fluid from patients with neurological diseases.

    abstract::T lymphocytes were determined according to their ability to form rosettes with sheep erythrocytes, in cerebrospinal fluid (CSF) from 120 patients, and in peripheral blood from 59 patients. Normal CSF contained 74.9 +/- 9.6% T lymphocytes. Increased T lymphocyte percentage was found in CSF from patients with active mul...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000115074

    authors: Naess A

    更新日期:1979-01-01 00:00:00

  • Brainstem involvement in hypertensive encephalopathy: a report of two cases and literature review.

    abstract::The cerebral hemispheres show prominent involvement in hypertensive encephalopathy far more frequently than the brainstem. Two patients with severe paroxysmally accelerated hypertension associated with brainstem hyperintensity in T2-weighted magnetic resonance images are presented. Both present hyperintense lesions im...

    journal_title:European neurology

    pub_type: 杂志文章,评审

    doi:10.1159/000100015

    authors: Uchino M,Haga D,Nomoto J,Mito T,Kuramitsu T

    更新日期:2007-01-01 00:00:00

  • Essential investigations of patients with suspected TIAs.

    abstract::Transient ischemic attacks (TIAs) are warning episodes predicting that such patients are at high risk for stroke which potentially could be life-threatening or leave an individual with substantial disability. TIAs result from large or small vessel disease, cardiogenic embolic events and hematological abnormalities. Th...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000052065

    authors: Anwer UE

    更新日期:1998-01-01 00:00:00

  • Clinical characteristics of aged Becker muscular dystrophy patients with onset after 30 years.

    abstract::To elucidate the clinical characteristics of aged patients with Becker muscular dystrophy (BMD), 4 patients with this disease who were over 50 years were examined. The ages at onset in all patients were later than 30 years. All were proven to have a deletion around exons 45-55 of the Duchenne muscular dystrophy (DMD) ...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000008089

    authors: Yazaki M,Yoshida K,Nakamura A,Koyama J,Nanba T,Ohori N,Ikeda S

    更新日期:1999-01-01 00:00:00

  • Waiting for platelet counts causes unsubstantiated delay of thrombolysis therapy.

    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

    authors: Breuer L,Huttner HB,Kiphuth IC,Ringwald J,Hilz MJ,Schwab S,Köhrmann M

    更新日期:2013-01-01 00:00:00

  • Coenzyme Q10 treatment in mitochondrial encephalomyopathies. Short-term double-blind, crossover study.

    abstract::We report a short-term double-blind, crossover study of CoQ10 in 8 patients with mitochondrial encephalomyopathies. Four patients had myoclonus epilepsy with ragged-red fibers syndrome, 3 had mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes syndrome, and 1 had chronic progressive extern...

    journal_title:European neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000117445

    authors: Chen RS,Huang CC,Chu NS

    更新日期:1997-01-01 00:00:00

  • Chronic relapsing neuropathy associated with Castleman's disease (angiofollicular lymph node hyperplasia).

    abstract::We report a 17-year-old patient who presented a chronic relapsing sensorimotor demyelinating neuropathy with 6 relapses over a 7-year period, preceding by 4 years the diagnosis of a multicentric angiofollicular lymph node hyperplasia. A role for Epstein-Barr virus (EBV) as a trigger of the neuropathy may be suggested ...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000117156

    authors: Vingerhoets F,Kuntzer T,Delacrétaz,Steck AJ,Knecht H,Bogousslavsky J,Meier C,Regli F

    更新日期:1995-01-01 00:00:00

  • Human slow wave sleep.

    abstract::Human slow wave sleep (hSWS) is an important form of sleep that seems to take priority over REM sleep. Although hSWS is commonly thought to be associated with enhanced tissue repair, evidence supporting this view is questioned. For example, total sleep deprivation and loss of hSWS have little or no adverse effect on b...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000116076

    authors: Horne JA

    更新日期:1986-01-01 00:00:00

  • Maximum number of collaterals developed by one axon during peripheral nerve regeneration and the influence of that number on reinnervation effects.

    abstract::This study investigated the maximum number of collaterals that can be maintained by 1 axon during regeneration of rat peripheral nerve. The tibial nerve was transected, the proximal residual, with its variable number of axons, was fixed to the distal stump and served as the donor nerve. The number of myelinated axons ...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000102161

    authors: Jiang BG,Yin XF,Zhang DY,Fu ZG,Zhang HB

    更新日期:2007-01-01 00:00:00

  • Calcified cerebral hydatid cyst.

    abstract::A 32-year-old patient with a lifelong history of epileptic attacks is described. A skull X-ray showed a round calcified nonhomogenous left frontotemporal mass. A CT scan confirmed its presence, as well as displacement of the left lateral and the third ventricles. At surgery a calcified inactive hydatid cyst was totall...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000116120

    authors: Micheli F,Lehkuniec E,Giannaula R,Caputi E,Paradiso G

    更新日期:1987-01-01 00:00:00

  • Effect of biologically active light and partial sleep deprivation on sleep, awakening and circadian rhythms in normals.

    abstract::The effects of biologically active light (BL) on subjective and objective quality of sleep and awakening, as well as circadian rhythms in cortisol, temperature and well-being were studied in 10 hospitalized normal female volunteers as compared with partial sleep deprivation (PSD). After 2 adaption days, three 24-hour ...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000116088

    authors: Saletu B,Dietzel M,Lesch OM,Musalek M,Walter H,Grünberger J

    更新日期:1986-01-01 00:00:00

  • Sensory action potentials and biopsy of the sural nerve in the neuropathy of nonmalignant IgMk plasma cell dyscrasia.

    abstract::Electrophysiological findings in 10 patients with polyneuropathy and nonmalignant IgMk plasma cell dyscrasia are reported. The amplitude of sensory action potentials and maximum conduction velocity along the sural and median nerves are related to the structural changes found at the biopsy and to the immunologic result...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000115979

    authors: Galassi G,Nemni R

    更新日期:1986-01-01 00:00:00

  • Adult metachromatic leukodystrophy. III. Clinical course, final stages and first biochemical results.

    abstract::Continuing the previously published clinical development of a case of adult metachromatic leukodystrophy (MLD), we now describe the terminal phase and death (at 46 years of age) of our patient. The final phase was characterized clinically by progression of generalized peripheral neuropathy, advanced extrapyramidal and...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000115164

    authors: Seidel D,Heipertz R,Goebel HH,Duensing I,Pilz H

    更新日期:1980-01-01 00:00:00

  • Poor outcome of bilateral congenital choroid plexus papillomas with extreme hydrocephalus.

    abstract::Bilateral choroid plexus papillomas, or villous hypertrophy of the choroid plexus, is a very rare entity that presents serious therapeutical problems in the management of secondary oversecretive hydrocephalus. The authors report the cases of 2 infants affected by this condition, and cured with removal of the lateral v...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000117402

    authors: Di Rocco C,Iannelli A

    更新日期:1997-01-01 00:00:00

  • Escalation Therapy of Steroid Refractory Multiple Sclerosis Relapse with Tryptophan Immunoadsorption - Observational Multicenter Study with 147 Patients.

    abstract:BACKGROUND:A marked proportion of multiple sclerosis (MS) relapses is followed by incomplete recovery. Our aim was to considerably increase the evidence of the clinical use of immunoadsorption (IA) as escalation therapy for patients with MS relapse. METHODS:A retrospective multicenter study was performed in MS patient...

    journal_title:European neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000447059

    authors: Schimrigk S,Faiss J,Köhler W,Günther A,Harms L,Kraft A,Ehrlich S,Eberl A,Fassbender C,Klingel R,Galle J,Riedlinger A,Hoffmann F

    更新日期:2016-01-01 00:00:00

  • Wernicke's encephalopathy with cortical abnormalities: clinicoradiological features: report of 3 new cases and review of the literature.

    abstract:OBJECTIVE:To investigate clinical and magnetic resonance imaging (MRI) features of Wernicke's encephalopathy with cortical abnormalities (WEc). METHODS:We retrospectively evaluated the clinical features and MRI findings in 3 cases of WEc in comparison with those of 7 previously reported cases. RESULTS:Besides the cla...

    journal_title:European neurology

    pub_type: 杂志文章,评审

    doi:10.1159/000235596

    authors: Sakurai K,Sasaki S,Hara M,Yamawaki T,Shibamoto Y

    更新日期:2009-01-01 00:00:00

  • Is there a need for alternative approaches in the therapy of cerebrovascular disorders?

    abstract::Acute ischemia of the brain induces a cascade of biochemical and physiological events. The final consequences depend on the fact whether ischemia is of transient or permanent, total or partial nature. Alteration of extracellular potassium concentration, intracellular calcium and potassium concentration, development of...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000116058

    authors: Hartmann A

    更新日期:1986-01-01 00:00:00

  • Possible regulation of intracranial pressure by human atrial natriuretic peptide in cerebrospinal fluid.

    abstract::To clarify the function of human atrial natriuretic peptide (hANP) in the cerebrospinal fluid (CSF), we examined hANP levels in the CSF of patients with various neurological diseases. The subjects were 16 controls without neurological disease and 45 patients with neurological disease. The 45 patients with neurological...

    journal_title:European neurology

    pub_type: 杂志文章

    doi:10.1159/000113166

    authors: Yamasaki H,Sugino M,Ohsawa N

    更新日期:1997-01-01 00:00:00

  • Multiple sclerosis. A clinical study of 70 cases.

    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

    authors: Zhao BX,Liu XQ,Guo YP,Yang YC,Huang HF

    更新日期:1981-01-01 00:00:00