Cognitive abilities and behaviour of children exposed to antiepileptic drugs in utero.

Abstract:

PURPOSE OF REVIEW:The last two decades have witnessed a growing concern over the treatment of epilepsy in women of childbearing age, with an increased risk of major congenital malformations and possible cognitive difficulties associated with certain antiepileptic drugs. The aim here is to review the literature regarding the possible cognitive and behavioural impact of exposure to antiepileptic drugs in utero. RECENT FINDINGS:Recent evidence from large prospective cohorts indicates that there is a longer term risk to the cognitive and behavioural development of the child exposed in utero to sodium valproate. Information on other antiepileptic agents is conflicting or nonexistent and more research in this area is urgently required. SUMMARY:Despite the methodological shortfalls of some of the research in this area, there is an accumulation of evidence highlighting an increased risk for cognitive and behavioural difficulties in children exposed to sodium valproate in utero. Although less certain, there may also be risks associated with phenobarbital and phenytoin exposure. Information regarding these risks should be communicated to the potential mother who has epilepsy.

journal_name

Curr Opin Neurol

authors

Bromley RL,Baker GA,Meador KJ

doi

10.1097/WCO.0b013e3283292401

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

162-6

issue

2

eissn

1350-7540

issn

1473-6551

pii

00019052-200904000-00009

journal_volume

22

pub_type

杂志文章,评审
  • MRI of non-Alzheimer's dementia: current and emerging knowledge.

    abstract:PURPOSE OF REVIEW:The correct classification of non-Alzheimer's dementia is crucial to study disease mechanisms, predict disease progression and test disease-specific treatments. Brain atrophy assessment with morphometric MRI is currently the gold standard for in-vivo localization of neurodegeneration. Structural and f...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000571

    authors: Filippi M,Agosta F

    更新日期:2018-08-01 00:00:00

  • Tremor entities and their classification: an update.

    abstract:PURPOSE OF REVIEW:This review focuses on important new findings in the field of tremor and illustrates the consequences for the current definition and classification of tremor. RECENT FINDINGS:Since 1998 when the consensus criteria for tremor were proposed, new variants of tremors and new diagnostic methods were disco...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000211

    authors: Gövert F,Deuschl G

    更新日期:2015-08-01 00:00:00

  • Is multiple sclerosis a generalized disease of the central nervous system? An MRI perspective.

    abstract:PURPOSE OF REVIEW:Is multiple sclerosis (MS) a generalized disease of the central nervous system? Or put another way, is MS pathology primarily focal with global consequences or global with focal consequences? Consideration of this question depends on how you view it both spatially and temporally. In this review, we ad...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/wco.0b013e32832b4c62

    authors: Chard D,Miller D

    更新日期:2009-06-01 00:00:00

  • New approaches to molecular therapy of brain tumors.

    abstract::Little progress has been made in the treatment outcome of patients with glioblastoma in the past 10 to 15 years, despite an aggressive multimodality regimen using surgery, radiation, and chemotherapy. New approaches, particularly molecular strategies, have become the clinicians' and scientists' hope for the future in ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199412000-00005

    authors: Yung WK

    更新日期:1994-12-01 00:00:00

  • Neuropharmacologic aspects of the ocular motor system and the treatment of abnormal eye movements.

    abstract::Neuropharmacology is aiding our understanding of the control of eye movements in at least three ways. First, neurotransmitters have been identified in the pathways that coordinate gaze. Second, the technique of pharmacologic inactivation has provided a powerful method to determine the contributions of populations of n...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199902000-00004

    authors: Leigh RJ,Ramat S

    更新日期:1999-02-01 00:00:00

  • Endpoints for clinical trials and revised assessment in neuro-oncology.

    abstract:PURPOSE OF REVIEW:Recent advances in survival for patients with newly diagnosed and recurrent brain tumors, combined with the development of an ever-increasing number of potential treatments, has led to significant growth in the number of clinical trials for patients with brain tumors. Suitable clinical trial design an...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328359b45e

    authors: Butowski N,Chang SM

    更新日期:2012-12-01 00:00:00

  • Magnetic resonance spectroscopy in multiple sclerosis: window into the diseased brain.

    abstract::Magnetic resonance spectroscopy provides noninvasive insight into the regional and global biochemical alterations that are concomitants of the dynamic processes that underlie the evolution of fundamental pathologic changes in multiple sclerosis. These include now well-recognized alterations of neuronal biochemical mar...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200206000-00004

    authors: Wolinsky JS,Narayana PA

    更新日期:2002-06-01 00:00:00

  • The pupil.

    abstract:PURPOSE OF REVIEW:To give an overview on topics of pupillary function selected according to their relevance in clinical neurology. Mainly publications of the last 3 years have been considered. RECENT FINDINGS:The discovery of photosensitive retinal ganglion cells not serving vision, but serving circadian rhythm and th...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章

    doi:10.1097/WCO.0b013e3282f39173

    authors: Wilhelm H

    更新日期:2008-02-01 00:00:00

  • Acquired myasthenia gravis in childhood.

    abstract:PURPOSE OF REVIEW:This review discusses recent studies on myasthenia gravis with onset in childhood (juvenile myasthenia gravis) and neonatal myasthenia gravis. RECENT FINDINGS:The occurrence of myasthenia gravis in childhood is strongly influenced by genetic and environmental factors. Juvenile myasthenia gravis is as...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32833c32af

    authors: Evoli A

    更新日期:2010-10-01 00:00:00

  • The elusive promise of myostatin inhibition for muscular dystrophy.

    abstract:PURPOSE OF REVIEW:Recent terminations of clinical trials of myostatin inhibitors in muscular dystrophy have raised questions about the predictiveness of mouse models for this therapeutic strategy. RECENT FINDINGS:A variety of myostatin inhibitors have been developed for preclinical and clinical studies. These inhibito...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章

    doi:10.1097/WCO.0000000000000853

    authors: Wagner KR

    更新日期:2020-10-01 00:00:00

  • Skin biopsy as a diagnostic tool.

    abstract:PURPOSE OF REVIEW:To give an overview of recent data on the use of skin biopsy as a diagnostic tool in neuropathies. RECENT FINDINGS:The sensitivity and specificity of skin biopsy in detecting small fiber neuropathy is supported by new data. In many patients with small fiber neuropathy, a treatable disorder can be ide...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328309000c

    authors: Sommer C

    更新日期:2008-10-01 00:00:00

  • Advances in neuroimaging techniques for the evaluation of tumor growth, vascular permeability, and angiogenesis in gliomas.

    abstract:PURPOSE OF REVIEW:This review will summarize new neuroimaging techniques, particularly MRI and PET imaging, that can be used to assess brain tumor growth and angiogenesis. RECENT FINDINGS:Glioma tumor vasculature is abnormal, and advances in MRI now permit visualization of the hemodynamic properties of gliomas includi...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328318402a

    authors: Gerstner ER,Sorensen AG,Jain RK,Batchelor TT

    更新日期:2008-12-01 00:00:00

  • Neuroimaging in trigeminal autonomic cephalgias: when, how, and of what?

    abstract:PURPOSE OF REVIEW:Trigeminal autonomic cephalgias (TACs) are characterized by frequent, short-lasting headache attacks with ipsilateral facial autonomic features. They include cluster headache, paroxysmal hemicrania, and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing. The...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/wco.0b013e32832b4bb3

    authors: Wilbrink LA,Ferrari MD,Kruit MC,Haan J

    更新日期:2009-06-01 00:00:00

  • Pseudotumoral demyelinating lesions: diagnostic approach and long-term outcome.

    abstract:PURPOSE OF REVIEW:To review the clinical findings, differential diagnosis, treatment and outcome of pseudotumoral demyelinating lesions including tumefactive demyelination and Baló's concentric sclerosis. RECENT FINDINGS:MRI findings, such as dynamic restricted diffusion changes at the edge of pseudotumoral lesions he...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000683

    authors: Hardy TA

    更新日期:2019-06-01 00:00:00

  • Recent advances in functional neuroimaging.

    abstract::New functional imaging techniques, including positron emission tomography, transcranial magnetic stimulation and functional magnetic resonance imaging, promise to allow the noninvasive study of haemodynamic, metabolic and activation parameters during acute migraine attacks in humans. These techniques are currently bei...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199906000-00003

    authors: Cutrer FM,O'Donnell A

    更新日期:1999-06-01 00:00:00

  • New treatments and treatment goals for patients with relapsing-remitting multiple sclerosis.

    abstract:PURPOSE OF REVIEW:The aims of this article are to review emerging therapies for multiple sclerosis (MS) and to consider new approaches to assessment and achievement of treatment success in patients with this disease. RECENT FINDINGS:A number of disease-modifying therapies for MS, including oral agents, are in advanced...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000413320.94715.e9

    authors: Fox EJ,Rhoades RW

    更新日期:2012-02-01 00:00:00

  • What have we learned from recent twin studies about the etiology of neurodevelopmental disorders?

    abstract:PURPOSE OF REVIEW:The relative influence of genes and environment on the liability to neurodevelopmental disorders (NDDs) can be investigated using a twin design. This review highlights the results of the most recent twin studies of NDDs. RECENT FINDINGS:Recent twin studies have confirmed that NDDs show moderate-to-hi...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32835f19c3

    authors: Posthuma D,Polderman TJ

    更新日期:2013-04-01 00:00:00

  • Spinal cord lesions.

    abstract::Selected topics related to rehabilitation of individuals with spinal cord lesions are reviewed and commented upon. A 10-week arm-cranking programme improved aerobic capacity and endurance in tetraplegics. Furthermore, endurance training and forced vital capacity were found to be positively correlated. Rowing had addit...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199512000-00010

    authors: Biering-Sørensen F,Hartkopp A

    更新日期:1995-12-01 00:00:00

  • Examining the ocular fundus in neurology.

    abstract:PURPOSE OF REVIEW:The funduscopic examination can be a technically difficult, and often omitted, portion of the neurologic examination, despite its great potential to influence patient care. RECENT FINDINGS:Medical practitioners are often first taught to examine the ocular fundus using a direct ophthalmoscope, however...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000637

    authors: Rodenbeck SJ,Mackay DD

    更新日期:2019-02-01 00:00:00

  • Diagnosis of natalizumab-associated progressive multifocal leukoencephalopathy using MRI.

    abstract:PURPOSE OF REVIEW:This review describe the role and advancements of MRI in the diagnosis and monitoring of progressive multifocal leukoencephalopathy (PML) in multiple sclerosis patients treated with natalizumab. RECENT FINDINGS:MRI is the most sensitive paraclinical tool in the detection of PML lesions in natalizumab...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000099

    authors: Wattjes MP,Barkhof F

    更新日期:2014-06-01 00:00:00

  • What is new about epidemiology of acute infectious encephalitis?

    abstract:PURPOSE OF REVIEW:This review aims to describe new features on the epidemiology of encephalitis world-wide. As this neurological presentation is most frequently related to transmitted viruses, surveillance of encephalitis is of major importance to detect their emergence or re-emergence. RECENT FINDINGS:Rabies causes o...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000097

    authors: Stahl JP,Mailles A

    更新日期:2014-06-01 00:00:00

  • Sex differences in neurodevelopmental disorders.

    abstract:PURPOSE OF REVIEW:There continues to be more males than females diagnosed with neurodevelopmental disorders, which may provide clues about their cause. This review will focus on the two most common neurodevelopmental disorders - autism spectrum disorder (autism) and attention deficit hyperactivity disorder (ADHD), and ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000714

    authors: May T,Adesina I,McGillivray J,Rinehart NJ

    更新日期:2019-08-01 00:00:00

  • Radiation injury to the nervous system.

    abstract::This article reviews the current knowledge with regard to neurotoxicity of conventional radiation, including recent understanding of the pathophysiology, molecular biology, diagnostic evaluation and clinical presentations, as well as proposed treatment modalities and possible protective agents. ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200112000-00008

    authors: New P

    更新日期:2001-12-01 00:00:00

  • Stem cell transplantation for neurodegenerative diseases.

    abstract:PURPOSE OF REVIEW:To review recent developments in the application of stem cells for transplantation therapies in neurodegenerative diseases. RECENT FINDINGS:Stem cell transplantation has the potential to improve function by replacing cells lost to the disease and reconstructing elements of neural circuitry or by prov...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e3282f132fc

    authors: Rosser AE,Zietlow R,Dunnett SB

    更新日期:2007-12-01 00:00:00

  • Inflammation and ischaemic stroke.

    abstract:PURPOSE OF REVIEW:Inflammation is implicated in ischaemic stroke as a general cardiovascular risk factor, a possible immediate trigger, a component (and possible exacerbating factor) of the response to tissue injury, a marker of future risk, and as a therapeutic target. Each aspect is reviewed. RECENT FINDINGS:Evidenc...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32813ba151

    authors: Muir KW,Tyrrell P,Sattar N,Warburton E

    更新日期:2007-06-01 00:00:00

  • Vasculitic neuropathy.

    abstract::The pathogenesis of primary vasculitides, which are assumed to have an autoimmune pathogenesis, is not well understood. The endothelial cell adhesion molecules seem to play an active role, which varies according to the histopathologic stage of vascular lesions. The role of genetic factors also seems quite important, a...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199910000-00017

    authors: Said G

    更新日期:1999-10-01 00:00:00

  • Controversies in the treatment of Parkinson's disease.

    abstract::Although theoretical reasons exist for believing that selegiline slows the progression of Parkinson's disease, this has not been shown in clinical trials. Selegiline improves the symptoms of Parkinson's disease, allowing the introduction of levodopa to be delayed in de-novo patients and, later, for levodopa to be used...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199608000-00012

    authors: Hely MA,Morris JG

    更新日期:1996-08-01 00:00:00

  • Clinical neurophysiology in epilepsy.

    abstract::Recent advances in clinical neurophysiology of epilepsy have enhanced our ability to study the epileptogenic region and have improved the localization of seizures in patients with intractable epilepsy. Computed spike analyses using electroencephalogram or magnetoencephalography superimposed on magnetic resonance image...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199404000-00011

    authors: Masuoka LK,Spencer SS

    更新日期:1994-04-01 00:00:00

  • Longitudinal imaging: change and causality.

    abstract:PURPOSE OF REVIEW:Longitudinal studies that use MRI scans performed over multiple time-points have been increasingly employed in the study of different neurological disorders, including degenerative dementia, multiple sclerosis, and epilepsy. RECENT FINDINGS:Although it is well established that increased rates of brai...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32830719d4

    authors: Whitwell JL

    更新日期:2008-08-01 00:00:00

  • Herpes simplex virus encephalitis: new infection or reactivation?

    abstract:PURPOSE OF REVIEW:This review describes the pathogenesis, clinical presentation, course, and therapy of herpes simplex encephalitis (HSE), the most fatal viral encephalitis, in which prognosis is dependent on early diagnosis and effective therapy. RECENT FINDINGS:Herpes simplex viruses types 1 and 2 (HSV-1 and HSV-2) ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328346be6f

    authors: Steiner I

    更新日期:2011-06-01 00:00:00