The role of hippocampal sclerosis in topiramate-related depression and cognitive deficits in people with epilepsy.

Abstract:

PURPOSE:To clarify the role of hippocampal sclerosis (HS) in developing psychiatric and cognitive adverse events during therapy with topiramate (TPM) in patients with temporal lobe epilepsy (TLE). METHODS:We analyzed the data of 70 patients with TLE and HS and 128 patients with cryptogenic TLE matched for age, sex, starting dose, and titration schedule of TPM. They were selected from the first consecutive 431 patients started on TPM between 1995 and 1999. RESULTS:Patients with HS were more likely to develop cognitive adverse events (CAEs; p = 0.002) and depression (p = 0.018) and to be receiving a polytherapy regimen (p = 0.007). However, regression analysis demonstrated that only HS was a predictive factor for the occurrence of CAEs (OR = 2.4; p < 0.001) and depression (OR = 2.3; p = 0.02). CONCLUSIONS:Patients with TLE and HS were more prone to develop CAEs and depression than were patients with cryptogenic TLE, during TPM therapy, despite the same titration schedule. The presence of HS and not duration of epilepsy or polytherapy regimen represented the main risk factor.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Mula M,Trimble MR,Sander JW

doi

10.1111/j.0013-9580.2003.19103.x

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

1573-7

issue

12

eissn

0013-9580

issn

1528-1167

pii

19103

journal_volume

44

pub_type

杂志文章
  • The effects of oxcarbazepine, levetiracetam, and lamotrigine on semen quality, sexual function, and sex hormones in male adults with epilepsy.

    abstract:OBJECTIVE:To investigate the effects of antiepileptic drugs (AEDs; oxcarbazepine [OXC], levetiracetam [LEV], and lamotrigine [LTG]) on semen quality, sexual function, and sex hormones in male adults with epilepsy. METHODS:Individual treatment with OXC, LEV, or LTG was randomly assigned to 38 newly diagnosed male adult...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/epi.14450

    authors: Wu D,Chen L,Ji F,Si Y,Sun H

    更新日期:2018-07-01 00:00:00

  • Presurgical language mapping in children with epilepsy: clinical usefulness of functional magnetic resonance imaging for the planning of cortical stimulation.

    abstract:PURPOSE:Presurgical language mapping in dominant hemisphere epilepsy to evaluate the risk of postoperative deficit is particularly difficult in children. Extraoperative invasive cortical stimulation can show some areas critical to language, but not all of them, due to scarce sampling, poor cooperation, cortical immatur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03329.x

    authors: de Ribaupierre S,Fohlen M,Bulteau C,Dorfmüller G,Delalande O,Dulac O,Chiron C,Hertz-Pannier L

    更新日期:2012-01-01 00:00:00

  • Novel features for capturing temporal variations of rhythmic limb movement to distinguish convulsive epileptic and psychogenic nonepileptic seizures.

    abstract:OBJECTIVE:To investigate the characteristics of motor manifestation during convulsive epileptic and psychogenic nonepileptic seizures (PNES), captured using a wrist-worn accelerometer (ACM) device. The main goal was to find quantitative ACM features that can differentiate between convulsive epileptic and convulsive PNE...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14619

    authors: Kusmakar S,Karmakar C,Yan B,Muthuganapathy R,Kwan P,O'Brien TJ,Palaniswami MS

    更新日期:2019-01-01 00:00:00

  • Epilepsy surgery and meaningful improvements in quality of life: results from a randomized controlled trial.

    abstract:OBJECTIVE:We examine improvement and worsening in quality of life (QOL) in terms of proportions achieving minimum clinically important change (MCID), and factors related to MCID, in patients with temporal lobe epilepsy randomized to medical or surgical treatment. METHODS:Eighty patients with temporal lobe epilepsy ran...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/epi.12625

    authors: Fiest KM,Sajobi TT,Wiebe S

    更新日期:2014-06-01 00:00:00

  • Parental mosaicism in epilepsies due to alleged de novo variants.

    abstract::Severe early onset epilepsies are often caused by de novo pathogenic variants. Few studies have reported the frequency of somatic mosaicism in parents of children with severe epileptic encephalopathies. Here we aim to investigate the frequency of mosaicism in the parents of children with epilepsy caused by alleged de ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.15187

    authors: Møller RS,Liebmann N,Larsen LHG,Stiller M,Hentschel J,Kako N,Abdin D,Di Donato N,Pal DK,Zacher P,Syrbe S,Dahl HA,Lemke JR

    更新日期:2019-06-01 00:00:00

  • Seizures and epilepsy in Sotos syndrome: analysis of 19 Caucasian patients with long-term follow-up.

    abstract::Sotos syndrome (SS) is an overgrowth syndrome characterized by typical facial appearance, learning disability, and macrocephaly as cardinal diagnostic features. Febrile (FS) and afebrile seizures are reported in 9-50% of cases. There is no evidence that patients with SS and FS later develop epilepsy, and no studies ha...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2012.03418.x

    authors: Nicita F,Ruggieri M,Polizzi A,Mauceri L,Salpietro V,Briuglia S,Papetti L,Ursitti F,Grosso S,Tarani L,Segni M,Savasta S,Parisi P,Verrotti A,Spalice A

    更新日期:2012-06-01 00:00:00

  • Postictal pulmonary edema requires pulmonary vascular pressure increases.

    abstract::The pathogenesis of neurogenic pulmonary edema has been debated for many years. Whether cardiogenic mechanisms and increased pulmonary vascular pressures are primary or even necessary for the production of pulmonary edema has been argued. We used postictal pulmonary edema to study this problem in a sheep model of neur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00587.x

    authors: Johnston SC,Darragh TM,Simon RP

    更新日期:1996-05-01 00:00:00

  • Focal chronic inflammatory epileptic encephalopathy in a patient with malformations of cortical development, with a review of the spectrum of chronic inflammatory epileptic encephalopathy.

    abstract:PURPOSE:Chronic cellular inflammation closely associated with epilepsy without an active infection is a hallmark of Rasmussen encephalitis (RE). RE has typical and defining features lacking in other rare epilepsy patients who also have neocortical lymphocytes without an identifiable cause. A patient with malformations ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01034.x

    authors: Rhodes RH,Lehman RM,Wu BY,Roychowdhury S

    更新日期:2007-06-01 00:00:00

  • Efficacy of clobazam as add-on therapy in patients with refractory partial epilepsy.

    abstract:PURPOSE:Clobazam (CLB) has an important antiepileptic effect and is less expensive than the new antiepileptic drugs (AEDs), but still has not been considered as first-line drug in the treatment of epilepsy. We evaluated the efficacy of CLB as add-on therapy in patients with refractory partial epilepsy. METHODS:This wa...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1528-1157.2001.31600.x

    authors: Montenegro MA,Cendes F,Noronha AL,Mory SB,Carvalho MI,Marques LH,Guerreiro CA

    更新日期:2001-04-01 00:00:00

  • Historical aspects of idiopathic generalized epilepsies.

    abstract::Early in these proceedings, the origin of the three terms in the title, "idiopathic generalized epilepsy," is discussed with respect to their significance over time, and typical misunderstandings. In the mid-20th century, a rather chaotic use of a multitude of often loosely defined terms had developed, which increasin...

    journal_title:Epilepsia

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1528-1167.2005.00308.x

    authors: Wolf P

    更新日期:2005-01-01 00:00:00

  • Epidemiology and clinical characteristics of seizures in patients with acute intermittent porphyria.

    abstract::The objectives of this study were to investigate the lifetime prevalence of epileptic seizures in a population with acute intermittent porphyria (AIP) and to characterize the seizures and the seizure-triggering factors. A letter was sent to all patients with known AIP in Sweden registered at the National Porphyria Cen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00018.x

    authors: Bylesjö I,Forsgren L,Lithner F,Boman K

    更新日期:1996-03-01 00:00:00

  • Hemispheric surgery in children with refractory epilepsy: seizure outcome, complications, and adaptive function.

    abstract:PURPOSE:To describe seizure control, complications, adaptive function and language skills following hemispheric surgery for epilepsy. METHODS:Retrospective chart review of patients who underwent hemispheric surgery from July 1993 to June 2004 with a minimum follow-up of 12 months. RESULTS:The study population compris...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00909.x

    authors: Basheer SN,Connolly MB,Lautzenhiser A,Sherman EM,Hendson G,Steinbok P

    更新日期:2007-01-01 00:00:00

  • Choosing the tumoral epilepsy surgery candidate.

    abstract::The management of epilepsy is an essential clinical issue in many patients with brain tumors. Tumoral epilepsy is often drug resistant and is associated with poor quality of life. Surgery represents a key therapeutic option in the management of patients with refractory tumoral epilepsy, with high rates of postoperativ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12451

    authors: Rheims S,Ducray F,Ryvlin P

    更新日期:2013-12-01 00:00:00

  • Treatment considerations in anticonvulsant monotherapy.

    abstract::The long-standing practice of polypharmacy in treating epilepsy is giving way to use of monotherapy. Monotherapy can improve seizure control as well as reduce the risk of serious idiosyncratic reactions, dose-related side effects, and complex drug interactions. Monotherapy also offers improved compliance and cost-effe...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1987.tb05765.x

    authors: Wilder BJ

    更新日期:1987-01-01 00:00:00

  • Malformation in index pregnancy in women with epilepsy is not followed by recurrence in subsequent pregnancy.

    abstract::Use of antiepileptic drugs (AEDs) in pregnant women with epilepsy (WWE) is associated with an increased risk of major congenital malformations (MCM). Previous studies have suggested that WWE who had a malformation in their index pregnancy were at an increased risk of recurrence in future pregnancies. We aimed to asses...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12411

    authors: Begum S,Sarma SP,Thomas SV

    更新日期:2013-12-01 00:00:00

  • Magnetic resonance imaging in animal models of epilepsy-noninvasive detection of structural alterations.

    abstract::Small animal magnetic resonance imaging (MRI) has opened a window through which brain abnormalities can be observed over time in rodents noninvasively. We review MRI studies done during epileptogenesis triggered by status epilepticus in rat. Most of these studies have used quantitative T2, diffusion, and/or volumetric...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01236.x

    authors: Gröhn O,Pitkänen A

    更新日期:2007-01-01 00:00:00

  • Acute and chronic effects of seizures in the developing brain: lessons from clinical experience.

    abstract::Seizures in the neonate are often considered a form of status epilepticus (SE) because they are relatively prolonged, difficult to control with antiepileptic drugs (AEDs), and may be associated with significant morbidity and mortality. Despite their clinical importance, there is still no clear understanding of how sei...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1999.tb00878.x

    authors: Mizrahi EM

    更新日期:1999-01-01 00:00:00

  • Resective surgery for intractable focal epilepsy in patients with low IQ: predictors for seizure control and outcome with respect to seizures and neuropsychological and psychosocial functioning.

    abstract:PURPOSE:To investigate possible predictive factors for seizure control in a group of children and adults with low IQs (IQ, < or =70) who underwent resective surgery for intractable focal epilepsy and to study outcome with respect to seizures and neuropsychological functioning. We also studied psychosocial outcome in th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.34003.x

    authors: Bjørnaes H,Stabell KE,Heminghyt E,Røste GK,Bakke SJ

    更新日期:2004-02-01 00:00:00

  • Pharmacokinetic considerations in prescribing antiepileptic drugs.

    abstract::Each antiepileptic drug has a characteristic pharmacokinetic profile, and the unique properties of each must be considered when selecting the optimal agent for a particular patient. Detailed pharmacologic data are obtained during the preapproval evaluation of a drug, particularly in early phase studies in healthy volu...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:

    authors: Faught E

    更新日期:2001-01-01 00:00:00

  • Cognitive outcomes in children who present with a first unprovoked seizure.

    abstract:PURPOSE:To determine the long-term cognitive and educational outcomes in children prospectively identified at the time of a first unprovoked seizure. METHODS:A cohort of children with a first unprovoked seizure was enrolled and followed for a mean of 15 years. Cognitive function and educational outcomes were determine...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02724.x

    authors: Sogawa Y,Masur D,O'Dell C,Moshe SL,Shinnar S

    更新日期:2010-12-01 00:00:00

  • Adenosine kinase and adenosine receptors A1 R and A2A R in temporal lobe epilepsy and hippocampal sclerosis and association with risk factors for SUDEP.

    abstract:OBJECTIVE:The "adenosine hypothesis of SUDEP" (sudden unexpected death in epilepsy) predicts that a seizure-induced adenosine surge combined with impaired metabolic clearance can foster lethal apnea or cardiac arrest. Changes in adenosine receptor density and adenosine kinase (ADK) occur in surgical epilepsy patients. ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16487

    authors: Patodia S,Paradiso B,Garcia M,Ellis M,Diehl B,Thom M,Devinsky O

    更新日期:2020-04-01 00:00:00

  • The epidemiology and treatment of chronic and refractory epilepsy.

    abstract::In developed countries, the incidence of epilepsy is 50-100 cases per 100,000 population per year and the prevalence is approximately 5 to 8 cases per 1,000 population. Epilepsy is by far the most prevalent serious neurologic condition. Mortality rates in epilepsy are two to four times those found in matched nonepilep...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06027.x

    authors: Shorvon SD

    更新日期:1996-01-01 00:00:00

  • Relative frequency of different types of epilepsy: a study employing the classification of the International League Against Epilepsy.

    abstract::Approximately three-quarters of epileptic patients seen in consultation by specialists can easily be assigned to one of the diagnostic categories of the International League against Epilepsy. When patient age is taken into account, such a distribution shows that partial epilepsy is more common than generalized epileps...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb06073.x

    authors: Gastaut H,Gastaut JL,Gonçalves e Silva GE,Fernandez Sanchez GR

    更新日期:1975-09-01 00:00:00

  • The effects of remifentanil on epileptiform discharges during intraoperative electrocorticography in patients undergoing epilepsy surgery.

    abstract:PURPOSE:High-dose i.v. opioids (e.g., alfentanil, 50 microg/kg bolus) are known to increase the intraoperative reading of epileptiform activity during epilepsy surgery (ES), thereby facilitating localization of the epileptogenic zone (i.e., the site of ictal onset and initial seizure propagation). However, this phenome...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.05901.x

    authors: Wass CT,Grady RE,Fessler AJ,Cascino GD,Lozada L,Bechtle PS,Marsh WR,Sharbrough FW,Schroeder DR

    更新日期:2001-10-01 00:00:00

  • Surgical strategy and outcomes for epileptic patients with focal cortical dysplasia or dysembryoplastic neuroepithelial tumor.

    abstract:PURPOSE:The purpose of this study was to clarify and compare the influence of surgical strategy on relief from seizures in patients with focal cortical dysplasia (FCD) and those with dysembryoplastic neuroepithelial tumor (DNT). METHODS:Six patients with FCD and five patients with DNT, all of whom underwent surgical r...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:

    authors: Kameyama S,Fukuda M,Tomikawa M,Morota N,Oishi M,Wachi M,Kanazawa O,Sasagawa M,Kakita A,Takahashi H

    更新日期:2001-01-01 00:00:00

  • Decreased cerebrospinal fluid hypocretin-1 (orexin A) in patients after repetitive generalized tonic-clonic seizures.

    abstract::The effects of seizures on the hypocretin/orexin system have not yet been investigated in epileptic patients. The present study aimed to assay hypocretin-1 in the cerebrospinal fluid (CSF) of patients after generalized tonic-clonic (GTC) seizures. Study groups consisted of 21 patients after GTC seizures and 19 control...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01990.x

    authors: Rejdak K,Papuć E,Grieb P,Stelmasiak Z

    更新日期:2009-06-01 00:00:00

  • Lingual seizures.

    abstract::A 73-year-old patient with hyperglycemia and rheumatoid arthritis presented with attacks of involuntary lingual movements that were associated with pain at the base of the tongue, often followed by aversion of head and eyes to the left with clonic contractions of the left corner of the mouth. Seizures could be induced...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb05094.x

    authors: Neufeld MY,Blumen SC,Nisipeanu P,Korczyn AD

    更新日期:1988-01-01 00:00:00

  • Lafora's disease in south India: a clinical, electrophysiologic, and pathologic study.

    abstract::Twenty-one cases (12 males, 9 females) of Lafora's disease in 16 families were studied at the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India, from 1982 to 1990. Mean age of onset was 13.5 years (range 9.5-18 years). First symptom was generalized tonic-clonic seizure (17), myoclonus ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02588.x

    authors: Acharya JN,Satishchandra P,Asha T,Shankar SK

    更新日期:1993-05-01 00:00:00

  • Cerebral blood flow and fMRI BOLD auditory language activation in temporal lobe epilepsy.

    abstract:PURPOSE:Blood oxygen level-dependent (BOLD) functional magnetic resonance imaging (fMRI), an important research and clinical tool, depends on relatively greater transient increases in (regional cerebral blood flow) rCBF than cerebral metabolic rate for oxygen during neural activity. We investigated whether reduced rest...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03403.x

    authors: Appel S,Duke ES,Martinez AR,Khan OI,Dustin IM,Reeves-Tyer P,Berl MB,Sato S,Gaillard WD,Theodore WH

    更新日期:2012-04-01 00:00:00

  • Revising and refining the epilepsy classification system: priorities from a developing world perspective.

    abstract::Although the technical and human resources for epilepsy care and classification are located largely in high income countries, most people with epilepsy reside in developing regions of the world. Advances over the past two decades in the clinical and basic neurosciences have transformed epilepsy care and largely drive ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03554.x

    authors: Birbeck GL

    更新日期:2012-07-01 00:00:00