Abstract:
OBJECTIVE:To explore the long-term effectiveness of rufinamide in managing Lennox-Gastaut Syndrome (LGS), other epileptic encephalopathies, and intractable focal epilepsies in adults and children in routine clinical practice. METHODS:A multicentre, retrospective chart review of patients prescribed adjunctive rufinamide at seven Spanish epilepsy centres, with assessments at six and 12 months. RESULTS:We evaluated data from 58 patients (40 male, age range 7-57 years), 25 of whom were diagnosed with LGS, 12 with other epileptic encephalopathies and 21 of whom were diagnosed with focal epilepsies, mainly frontal lobe. The mean daily rufinamide dose was 32.0 mg/kg (range 12.5-66.7 mg/kg) in children and 24.7 mg/kg (range 5.0-47.0 mg/kg) in adults, and the most commonly used concomitant antiepileptic drugs were levetiracetam and valproate. Rufinamide was discontinued in 25 patients (43.1%) during the 1-year follow-up, and the most common reason was lack of effectiveness (n = 12, 20.7% of total). The frequency of generalized tonic-clonic seizures was significantly reduced from baseline at 6 and 12 months (P = 0.001), both in patients with generalized epilepsies and in patients with focal epilepsies. Significant seizure frequency reduction from baseline was observed at 12 months (P = 0.01) for tonic/atonic seizures and at 6 months (P = 0.001) for focal seizures. Side effects were reported in 21 patients (36.2%): nausea, vomiting and weight loss were most frequent. CONCLUSIONS:Rufinamide was well tolerated and was effective in reducing frequency of generalized tonic-clonic, tonic/atonic and focal seizures in both children and adults with severe refractory epilepsies, primarily LGS.
journal_name
Acta Neurol Scandjournal_title
Acta neurologica Scandinavicaauthors
Jaraba S,Santamarina E,Miró J,Toledo M,Molins A,Burcet J,Becerra JL,Raspall M,Pico G,Miravet E,Cano A,Fossas P,Fernández S,Falip Mdoi
10.1111/ane.12572subject
Has Abstractpub_date
2017-01-01 00:00:00pages
122-128issue
1eissn
0001-6314issn
1600-0404journal_volume
135pub_type
杂志文章,多中心研究abstract::The density and size of astrocyte-, oligodendrocyte-and neurone nuclei in corpus striatum were determined in rats with CCl4-induced liver encephalopathy by means of an electronic image analyzer. After 8 weeks of CCl4-administration, the astrocyte number had nearly doubled, and astrocytes with increased nuclear size qp...
journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:
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journal_title:Acta neurologica Scandinavica
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doi:10.1111/j.1600-0404.1986.tb04618.x
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abstract::The effect of seizures on synthesis of the polyadenylic acid (poly(A]-containing messenger RNA (mRNA) isolated from brain polysomes in a genetically seizure-susceptible E1 mouse was studied in vivo. The seizure in the E1 mice was induced by tossed-up stimulation. Immediately after the seizure ceased, the labeled oroti...
journal_title:Acta neurologica Scandinavica
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doi:10.1111/j.1600-0404.1989.tb03888.x
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doi:10.1111/j.1600-0404.1992.tb05063.x
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abstract:BACKGROUND:Previous studies have shown that status epilepticus can lead to neuronal injury. However, the effect of a small number of isolated seizures is uncertain. METHODS:We used structural MRI and neuropathology to study the effects of isolated seizures induced by kainic acid (KA), (RS)-2-amino-3-(3-hydroxy-5-tert-...
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journal_title:Acta neurologica Scandinavica
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journal_title:Acta neurologica Scandinavica
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journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
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journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:10.1111/ane.12752
更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
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journal_title:Acta neurologica Scandinavica
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pub_type: 杂志文章
doi:10.1111/ane.12167
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journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0404.1992.tb05100.x
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journal_title:Acta neurologica Scandinavica
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journal_title:Acta neurologica Scandinavica
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doi:10.1111/j.1600-0404.2005.00550.x
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doi:10.1111/j.1600-0404.1992.tb08046.x
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journal_title:Acta neurologica Scandinavica
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doi:10.1111/j.1600-0404.1993.tb04221.x
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journal_title:Acta neurologica Scandinavica
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journal_title:Acta neurologica Scandinavica
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pub_type: 杂志文章
doi:10.1111/j.1600-0404.1986.tb03302.x
更新日期:1986-04-01 00:00:00
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doi:10.1111/j.1600-0404.1985.tb00855.x
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