Treatment of status epilepticus and acute repetitive seizures with i.v. valproic acid vs phenytoin.

Abstract:

OBJECTIVE:To evaluate the efficacy and tolerability of the treatment with valproic acid (VPA) in patients with status epilepticus (SE) or acute repetitive seizures (ARS) comparing it with phenytoin (PHT) treatment. MATERIALS AND METHODS:Patients with SE or ARS were treated in a consecutive manner with either VPA or PHT intravenously. The primary endpoint was defined as clinical seizure cessation; the secondary endpoint was evaluation of drug tolerability. RESULTS:Seventy-four adult patients with SE or ARS participated in the study, 49 with VPA i.v. and 25 PHT i.v. In 43 (87.8%) of the VPA patients, the seizures discontinued, and no rescue medication was needed. Similar results were found in the PHT group in which seizures of 22 (88%) patients were well controlled. Side effects were found in 12% of the PHT group, and in none of the VPA group. CONCLUSIONS:VPA i.v. seems to be effective and well tolerated in adult patients with SE or ARS.

journal_name

Acta Neurol Scand

authors

Gilad R,Izkovitz N,Dabby R,Rapoport A,Sadeh M,Weller B,Lampl Y

doi

10.1111/j.1600-0404.2008.01097.x

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

296-300

issue

5

eissn

0001-6314

issn

1600-0404

pii

ANE1097

journal_volume

118

pub_type

临床试验,杂志文章
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    更新日期:1994-01-01 00:00:00

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  • Preclinical evidence of Alzheimer changes in progressive mild cognitive impairment: a qualitative and quantitative SPECT study.

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    pub_type: 杂志文章

    doi:10.1111/j.1600-0404.2006.00661.x

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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章

    doi:10.1111/j.1600-0404.1994.tb02653.x

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1111/j.1600-0404.1989.tb03741.x

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    pub_type: 杂志文章

    doi:10.1111/j.1600-0404.2007.00950.x

    authors: Zivković SA,Costa G,Bond G,Abu-Elmagd KM

    更新日期:2008-05-01 00:00:00

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    journal_title:Acta neurologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0404.2012.01703.x

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    更新日期:2013-04-01 00:00:00

  • 99mTc-TRODAT-1 SPECT study in early Parkinson's disease and essential tremor.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,随机对照试验

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    doi:10.1111/j.1600-0404.1986.tb03249.x

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  • Anterior ischaemic optic neuropathy secondary to cluster headache.

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    doi:10.1111/j.1600-0404.1986.tb03266.x

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