Repeated neural tube defects and valproate monotherapy suggest a pharmacogenetic abnormality.

Abstract:

:Valproate (VPA) is an effective, widely used antiepileptic drug. Unfortunately its use in pregnant women is associated with neural tube defects in the offspring. Although the etiology of neural tube defects is multifactorial, there is evidence that underlying genetic susceptibility plays a part. We describe two women taking moderate doses of VPA who repeatedly bore children with neural tube defects, despite folate supplementation. This suggests a pharmacogenetic susceptibility to the teratogenic effects of VPA.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Duncan S,Mercho S,Lopes-Cendes I,Seni MH,Benjamin A,Dubeau F,Andermann F,Andermann E

doi

10.1046/j.1528-1157.2001.44300.x

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

750-3

issue

6

eissn

0013-9580

issn

1528-1167

pii

epi44300

journal_volume

42

pub_type

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