Phenobarbital and phenytoin in neonatal seizures: metabolism and tissue distribution.

Abstract:

:Loading doses of 15 to 20 mg per kilogram of both phenobarbital and phenytoin, administered intravenously, are necessary in the newborn to achieve rapid therapeutic plasma anticonvulsant levels. Maintenance doses of 3 to 4 mg per kilogram of both agents will maintain therapeutic levels. Phenytoin is, however, not predictably absorbed by the oral route. Brain:plasma ratios were 0.71 +/- 0.21 for phenobarbital and 1.28 +/- 0.32 for phenytoin, which are in general agreement with reported adult values. The brain:plasma ratio of phenobarbital increased with gestational age. Phenytoin was found in higher concentration in gray matter, whereas phenobarbital was equally distributed between gray and white matter.

journal_name

Neurology

journal_title

Neurology

authors

Painter MJ,Pippenger C,Wasterlain C,Barmada M,Pitlick W,Carter G,Abern S

doi

10.1212/wnl.31.9.1107

subject

Has Abstract

pub_date

1981-09-01 00:00:00

pages

1107-12

issue

9

eissn

0028-3878

issn

1526-632X

journal_volume

31

pub_type

杂志文章
  • Treatment of restless legs syndrome with gabapentin: a double-blind, cross-over study.

    abstract:OBJECTIVE:To assess the effects of gabapentin on sensory and motor symptoms in patients with restless legs syndrome (RLS). METHODS:Patients with RLS (22 idiopathic, 2 secondary to iron deficiency) were randomized and treated for 6 weeks with either gabapentin or placebo. After a 1-week washout they crossed over to the...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.59.10.1573

    authors: Garcia-Borreguero D,Larrosa O,de la Llave Y,Verger K,Masramon X,Hernandez G

    更新日期:2002-11-26 00:00:00

  • Hemifacial spasm due to contralateral acoustic neuroma: case report.

    abstract::A patient with a large acoustic neuroma had contralateral hemifacial spasm. On CT, the brainstem was markedly displaced and distorted by the tumor. After total removal of the tumor the hemifacial spasm was temporarily worse, but disappeared 14 days after the operation. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.2.339

    authors: Nishi T,Matsukado Y,Nagahiro S,Fukushima M,Koga K

    更新日期:1987-02-01 00:00:00

  • Quantitative computed tomography in dementia of the Alzheimer type.

    abstract::Men and women with dementia of the Alzheimer type (DAT) had more brain atrophy and ventricular dilatation, measured by quantitative CT, than did respective age- and sex-matched healthy controls (p less than 0.05). The male DAT patients with mild dementia had a larger mean third ventricle volume, whereas male patients ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.12.1563

    authors: Creasey H,Schwartz M,Frederickson H,Haxby JV,Rapoport SI

    更新日期:1986-12-01 00:00:00

  • Evidence for widespread movement-associated functional MRI changes in patients with PPMS.

    abstract:BACKGROUND:Previous work has suggested that functional reorganization of cortical motor areas might have a role in limiting the motor deficits in patients with MS. OBJECTIVE:To test whether movement-associated cortical changes in MS might extend beyond the "classic" motor areas and involve sites for multimodal integra...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.58.6.866

    authors: Rocca MA,Matthews PM,Caputo D,Ghezzi A,Falini A,Scotti G,Comi G,Filippi M

    更新日期:2002-03-26 00:00:00

  • Alpha-methyl-L-tryptophan PET detects epileptogenic cortex in children with intractable epilepsy.

    abstract:BACKGROUND:In children with tuberous sclerosis, the PET tracer alpha[11C]methyl-L-tryptophan (AMT) has been shown to be selectively taken up by epileptogenic tubers, thus allowing differentiation from nonepileptogenic tubers in the interictal state. OBJECTIVE:To determine whether cortical areas showing increased AMT u...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000049468.05050.f2

    authors: Juhász C,Chugani DC,Muzik O,Shah A,Asano E,Mangner TJ,Chakraborty PK,Sood S,Chugani HT

    更新日期:2003-03-25 00:00:00

  • Long-lasting conduction block in hereditary neuropathy with liability to pressure palsies.

    abstract::We detected 29 conduction blocks in 12 patients with hereditary neuropathy and liability to pressure palsies. The blocks occurred at entrapment sites, most often the ulnar nerve at the elbow. Some had lasted for several years. This kind of block seems to be characteristic of the neuropathy, and may be related to the l...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.11.1639

    authors: Magistris MR,Roth G

    更新日期:1985-11-01 00:00:00

  • Detection and cellular localization of enterovirus RNA sequences in spinal cord of patients with ALS.

    abstract:OBJECTIVE:To investigate the possible association of persistent enterovirus (EV) infection with the development of ALS. BACKGROUND:Although ALS is a clinically well-defined motor neuron disease, little is known about the etiology and pathogenesis of the sporadic cases. Among the different causes that have been hypothe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.1.20

    authors: Berger MM,Kopp N,Vital C,Redl B,Aymard M,Lina B

    更新日期:2000-01-11 00:00:00

  • Concerns of surrogate decision makers for patients with acute brain injury: A US population survey.

    abstract:OBJECTIVE:To determine whether groups of surrogates for patients with severe acute brain injury (SABI) with poor prognosis can be identified based on their prioritization of goals-of-care (GOC) decisional concerns, an online survey of 1,588 adults recruited via a probability-based panel representative of the US populat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009406

    authors: Hwang DY,Knies AK,Mampre D,Kolenikov S,Schalk M,Hammer H,White DB,Holloway RG,Sheth KN,Fraenkel L

    更新日期:2020-05-12 00:00:00

  • Speech without conscious awareness.

    abstract::Following commissurotomy, it is usually the case that information presented to the left hemisphere can be named and described, while information presented to the mute, right hemisphere cannot be spoken about. In the present study, it was discovered that under special test conditions, an MRI-verified, callosally sectio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.4.682

    authors: Gazzaniga MS,Holtzman JD,Smylie CS

    更新日期:1987-04-01 00:00:00

  • Recanalization after thrombolysis in stroke patients: predictors and prognostic implications.

    abstract:OBJECTIVE:To estimate rates, predictors, and prognostic importance of recanalization in an unselected series of patients with stroke treated with IV thrombolysis. METHODS:We performed a CT angiography or transcranial Doppler (TCD) follow-up examination 24 hours after IV thrombolysis in 64 patients with documented occl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000250341.38014.d2

    authors: Zangerle A,Kiechl S,Spiegel M,Furtner M,Knoflach M,Werner P,Mair A,Wille G,Schmidauer C,Gautsch K,Gotwald T,Felber S,Poewe W,Willeit J

    更新日期:2007-01-02 00:00:00

  • A study of congenital nystagmus: waveforms.

    abstract::Eighteen patients with congenital nystagmus were studied with the techniques of electronystagmography and computer analysis. We found several complex wave forms of congenital nystagmus in the primary position of gaze above those of jerk and pendular nystagmus as defined clinically. An etiologic classification of motor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.4.326

    authors: Yee RD,Wong EK,Baloh RW,Honrubia V

    更新日期:1976-04-01 00:00:00

  • Efficacy of subcutaneous sumatriptan in repeated episodes of migraine.

    abstract::This double-blind, placebo-controlled, multicenter, crossover study investigated the efficacy and tolerability of sumatriptan administered for up to three separate migraine attacks. One hundred twenty adults received sumatriptan (SC, 6 mg; three attacks) and placebo (one attack). Patients completed questionnaires asse...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/wnl.43.7.1363

    authors: Cady RK,Dexter J,Sargent JD,Markley H,Osterhaus JT,Webster CJ

    更新日期:1993-07-01 00:00:00

  • Risk factors and outcome of patients with carotid artery stenosis presenting with lacunar stroke. North American Symptomatic Carotid Endarterectomy Trial Group.

    abstract:OBJECTIVE:To examine the relationship between carotid artery stenosis, other risk factors, and lacunar stroke. BACKGROUND:Carotid artery stenosis in patients presenting with lacune stroke may be coincidental or causal. The distinction by risk factor profile is uncertain. The risk and cause of subsequent stroke, and be...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.3.660

    authors: Inzitari D,Eliasziw M,Sharpe BL,Fox AJ,Barnett HJ

    更新日期:2000-02-08 00:00:00

  • Preclinical cognitive decline and subsequent sleep disturbance in older women.

    abstract:OBJECTIVE:To determine whether longitudinal cognitive decline is associated with increased risk of sleep disturbance in older, nondemented, community-dwelling women. METHODS:We studied 2,474 women (mean age 68.9 years) who were part of a prospective study started in 1986; women with baseline or follow-up evidence of p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000265814.69163.da

    authors: Yaffe K,Blackwell T,Barnes DE,Ancoli-Israel S,Stone KL,Study of Osteoporotic Fractures Group.

    更新日期:2007-07-17 00:00:00

  • Sign language aphasia due to left occipital lesion in a deaf signer.

    abstract::Localization of sign language production and comprehension in deaf people has been described as similar to that of spoken language aphasia. However, sign language employs a visuospatial modality through visual information. We present the first report of a deaf signer who showed substantial sign language aphasia with s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000277455.08067.9c

    authors: Saito K,Otsuki M,Ueno S

    更新日期:2007-10-02 00:00:00

  • Evaluation of dysphagia by novel real-time MRI.

    abstract:OBJECTIVE:To assess safety and feasibility of real-time (RT) MRI for evaluation of dysphagia and to compare this technique to standard assessment by flexible endoscopic evaluation of swallowing (FEES) and videofluoroscopy (VF) in a cohort of patients with inclusion body myositis (IBM). METHODS:Using RT-MRI, FEES, and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003337

    authors: Olthoff A,Carstens PO,Zhang S,von Fintel E,Friede T,Lotz J,Frahm J,Schmidt J

    更新日期:2016-11-15 00:00:00

  • Spontaneous spinal epidural hematoma in the young.

    abstract::There have been few descriptions of spontaneous epidural hematoma of the spinal cord in children. Duration of symptoms in previous cases has varied from hours to days. We recently evaluated a 6-year-old girl with cord compression from an extradural clot, who complained of thoracic back pain for 3 months before becomin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.1.120

    authors: Robertson WC Jr,Lee YE,Edmonson MB

    更新日期:1979-01-01 00:00:00

  • Diagnostic accuracy of confrontation visual field tests.

    abstract:OBJECTIVE:To determine the diagnostic accuracy of confrontation visual field testing and to compare the accuracy of confrontation tests both individually and in combination. METHODS:Patients were prospectively recruited from ophthalmology clinics over a 6-month period. All patients underwent SITA-standard 24-2 Humphre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d90017

    authors: Kerr NM,Chew SS,Eady EK,Gamble GD,Danesh-Meyer HV

    更新日期:2010-04-13 00:00:00

  • Comparison of depth and subdural electrodes in recording temporal lobe seizures.

    abstract::Intracranial EEG recording is often required to identify an area of the brain for resective surgery for intractable epilepsy. We simultaneously compared bilaterally placed depth and limited subdural electrode EEG to determine the most effective method of recording seizures from the temporal lobes. Localized complex pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.11.1497

    authors: Sperling MR,O'Connor MJ

    更新日期:1989-11-01 00:00:00

  • Gray matter differences in patients with functional movement disorders.

    abstract:OBJECTIVE:To explore alterations in gray matter volume in patients with functional movement disorders. METHODS:We obtained T1-weighted MRI on 48 patients with clinically definite functional movement disorders, a subset of functional neurologic symptom disorder characterized by abnormal involuntary movements, and on 55...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006514

    authors: Maurer CW,LaFaver K,Limachia GS,Capitan G,Ameli R,Sinclair S,Epstein SA,Hallett M,Horovitz SG

    更新日期:2018-11-13 00:00:00

  • Modulation of the renin-angiotensin-aldosterone system for the secondary prevention of stroke.

    abstract::Recurrent stroke is a major public health concern and new treatment strategies are needed. While modulation of the renin angiotensin aldosterone system (RAAS) has proven effective in reducing recurrent cardiac events, its role in preventing recurrent cerebrovascular events remains unclear. RAAS is both a circulating a...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000130360.21618.d0

    authors: Sokol SI,Portnay EL,Curtis JP,Nelson MA,Hebert PR,Setaro JF,Foody JM

    更新日期:2004-07-27 00:00:00

  • Tapping linked to function and structure in premanifest and symptomatic Huntington disease.

    abstract:OBJECTIVE:Motor signs are functionally disabling features of Huntington disease. Characteristic motor signs define disease manifestation. Their severity and onset are assessed by the Total Motor Score of the Unified Huntington's Disease Rating Scale, a categorical scale limited by interrater variability and insensitivi...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e3182020123

    authors: Bechtel N,Scahill RI,Rosas HD,Acharya T,van den Bogaard SJ,Jauffret C,Say MJ,Sturrock A,Johnson H,Onorato CE,Salat DH,Durr A,Leavitt BR,Roos RA,Landwehrmeyer GB,Langbehn DR,Stout JC,Tabrizi SJ,Reilmann R

    更新日期:2010-12-14 00:00:00

  • Neurotransmitters in basal ganglia and cortex of Alzheimer's disease with and without Lewy bodies.

    abstract::We measured the concentrations of the monoamines, their precursors, and their metabolites, and the activity of choline acetyltransferase (ChAT) in basal ganglia and cortical regions of postmortem brains from cases with histologically verified pure Alzheimer's disease (AD), AD with diffusely distributed Lewy bodies (Le...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.10.1927

    authors: Langlais PJ,Thal L,Hansen L,Galasko D,Alford M,Masliah E

    更新日期:1993-10-01 00:00:00

  • Amnesia with hippocampal lesions after cardiopulmonary arrest.

    abstract::A patient developed an amnesic syndrome after cardiopulmonary arrest. Neuropathologic examination revealed pronounced anoxic injury to both hippocampi with little damage to other hemisphere structures. The clinical and pathologic findings suggest that lesions limited to the hippocampus can cause profound amnesia. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.5.679

    authors: Cummings JL,Tomiyasu U,Read S,Benson DF

    更新日期:1984-05-01 00:00:00

  • Mechanisms of action of anticonvulsant agents.

    abstract::Systematic screening of many compounds in animal models led to identification of the established antiepileptic drugs (AEDs). By contrast, the newer AEDs were specifically designed to enhance an inhibitory process or to inhibit a specific excitatory pathway. However, it was later discovered that some of the designed dr...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Moshé SL

    更新日期:2000-01-01 00:00:00

  • Neuroanatomy of the self: evidence from patients with frontotemporal dementia.

    abstract:OBJECTIVE:To evaluate the frequency and types of change in "self" seen in frontotemporal dementia (FTD) and to determine the relative involvement of the nondominant and dominant frontal and temporal brain regions in FTD patients with or without changes in a sense of self using neuropsychology tests and neuroimaging. B...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.5.817

    authors: Miller BL,Seeley WW,Mychack P,Rosen HJ,Mena I,Boone K

    更新日期:2001-09-11 00:00:00

  • Association of circulating metabolites in plasma or serum and risk of stroke: Meta-analysis from seven prospective cohorts.

    abstract:OBJECTIVE:To conduct a comprehensive analysis of circulating metabolites and incident stroke in large prospective population-based settings. METHODS:We investigated the association of metabolites with risk of stroke in seven prospective cohort studies including 1,791 incident stroke events among 38,797 participants in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000011236

    authors: Vojinovic D,Kalaoja M,Trompet S,Fischer K,Shipley MJ,Li S,Havulinna AS,Perola M,Salomaa V,Yang Q,Sattar N,Jousilahti P,Amin N,Satizabal CL,Taba N,Sabayan B,Vasan RS,Ikram MA,Stott DJ,Ala-Korpela M,Jukema JW,Sesh

    更新日期:2020-12-02 00:00:00

  • MEG localization of language-specific cortex utilizing MR-FOCUSS.

    abstract:OBJECTIVE:To demonstrate noninvasive localization of cognitive cortical areas involved in language processing with magnetoencephalography (MEG) interpreted by multiresolution FOCUSS (MR-FOCUSS), a current density imaging technique. METHOD:MEG data were collected during verb-generation and picture-naming tasks from 18 ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000130385.21160.7a

    authors: Bowyer SM,Moran JE,Mason KM,Constantinou JE,Smith BJ,Barkley GL,Tepley N

    更新日期:2004-06-22 00:00:00

  • Corticospinal excitability in human sleep as assessed by transcranial magnetic stimulation.

    abstract::The excitability of the corticospinal system was studied in 23 healthy subjects in sleep stages NREM2, NREM4, REM, and wakefulness using transcranial magnetic stimulation. Assessment of motor thresholds, stimulus-response curves, and latencies of motor evoked potentials shows activation of the fast-conducting corticos...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000038762.11894.da

    authors: Grosse P,Khatami R,Salih F,Kühn A,Meyer BU

    更新日期:2002-12-24 00:00:00

  • Butyrylcholinesterase and progression of cognitive deficits in dementia with Lewy bodies.

    abstract::Butyrylcholinesterase is implicated in the pathology of AD. Selective inhibitors increase acetylcholine and improve cognitive function in animal models. In dementia with Lewy bodies, cholinergic activities are more affected than in AD. The authors report a highly significant association between temporal cortex butyryl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000068336.84399.9e

    authors: Perry E,McKeith I,Ballard C

    更新日期:2003-06-10 00:00:00