Reduction in internal carotid arterial blood flow velocity in children during antiepileptic drug therapy with clinical dosages.

Abstract:

:We studied the effect of antiepileptic drugs (AEDs) on internal carotid artery (ICA) blood flow velocity, as an index of total cerebral blood flow (CBF). The subjects were 45 newly diagnosed children with febrile convulsion or epilepsy who were seizure-free for a period long enough not to affect the results. They had no neurologic deficit, received fixed monotherapy, and were examined by a noninvasive Doppler ultrasound method, in comparison with 13 age-matched normal volunteers with no AED. In 30 patients, the measurements were performed before and after AED administration [10 with phenobarbital (PB), 10 with carbamazepine (CBZ), and 10 with valproate (VPA)], and performed before and after AED discontinuation in the remaining 15 patients (all with PB). Normal volunteers underwent the two consecutive examinations with a mean interval equal to that of the entire patient group, and there was no difference in velocity values between the measurements. In patients receiving CBZ or VPA, a significant reduction was noted in blood flow velocity after drug administration. Although velocity values in the patients receiving PB did not change after drug administration, they were significantly increased after complete discontinuation. In the present study, a slight but significant reduction in CBF caused by AED administration at therapeutic doses in children was suggested.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Futagi Y,Otani K,Imai K

doi

10.1111/j.1528-1157.1994.tb02519.x

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

827-31

issue

4

eissn

0013-9580

issn

1528-1167

journal_volume

35

pub_type

杂志文章
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  • The sudden unexplained death syndrome in epilepsy: demographic, clinical, and postmortem features.

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    更新日期:1992-03-01 00:00:00

  • A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus.

    abstract::The Commission on Classification and Terminology and the Commission on Epidemiology of the International League Against Epilepsy (ILAE) have charged a Task Force to revise concepts, definition, and classification of status epilepticus (SE). The proposed new definition of SE is as follows: Status epilepticus is a condi...

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  • Familial aggregation and severity of epilepsy.

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  • Clinical features of patients with posterior cortex epilepsies and predictors of surgical outcome.

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    更新日期:2005-09-01 00:00:00

  • Refractory epilepsy: an evaluation of psychological methods in outpatient management.

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    doi:10.1111/j.1528-1157.1990.tb05498.x

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  • Neuropsychological effect of temporal lobe resection in preadolescent children with epilepsy.

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01174.x

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    更新日期:1998-08-01 00:00:00

  • Responsive neurostimulation for regional neocortical epilepsy.

    abstract:OBJECTIVE:Surgical resection of seizure-producing brain tissue is a gold standard treatment for drug-resistant focal epilepsy. However, several patient-specific factors can preclude resective surgery, including a spatially extensive ("regional") seizure-onset zone (SOZ). For such patients, responsive neurostimulation (...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.16409

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    更新日期:2020-01-01 00:00:00

  • MEG correlates of epileptic high gamma oscillations in invasive EEG.

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  • Interaction of phenobarbital and phenytoin in an experimental model of seizures in rats.

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    pub_type: 杂志文章

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  • Noninvasive detection of focal seizures in ambulatory patients.

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    pub_type: 杂志文章,评审

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  • Pharmacokinetic and pharmacodynamic analysis of (2S,3S)-sec-butylpropylacetamide (SPD) in rats and pigs-A CNS-active stereoisomer of SPD.

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    pub_type: 杂志文章

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  • Canine epilepsy as a translational model?

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    abstract:OBJECTIVE:Previous validation studies assessing the use of administrative data to identify patients with epilepsy have used targeted sampling or have used a reference standard of patients in the neurologist, hospital, or emergency room setting. Therefore, the validity of using administrative data to identify patients w...

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  • Sodium channel SCN1A and epilepsy: mutations and mechanisms.

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    doi:10.1111/j.1528-1167.2010.02640.x

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    更新日期:2010-09-01 00:00:00

  • Localization of lesions by neuropsychological testing.

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    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:

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    更新日期:1991-01-01 00:00:00

  • Evaluation of case reports of aplastic anemia among patients treated with felbamate.

    abstract:PURPOSE:Felbamate (FBM) is a new antiepileptic drug (AED) that is often effective in seizure disorders refractory to other treatments; its use has been greatly restricted after cases of aplastic anemia were reported. To elucidate the putative association between FBM and aplastic anemia, we made a detailed evaluation of...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

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

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    doi:10.1111/j.1528-1167.2010.02724.x

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    更新日期:2010-12-01 00:00:00

  • Patterns of altered functional connectivity in mesial temporal lobe epilepsy.

    abstract:PURPOSE:In mesial temporal lobe epilepsy (MTLE) the epileptogenic area is confined to the mesial temporal lobe, but other cortical and subcortical areas are also affected and cognitive and psychiatric impairments are usually documented. Functional connectivity methods are based on the correlation of the blood oxygen le...

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  • Microstructural integrity of early- versus late-myelinating white matter tracts in medial temporal lobe epilepsy.

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    pub_type: 杂志文章

    doi:10.1111/epi.12353

    authors: Lee CY,Tabesh A,Benitez A,Helpern JA,Jensen JH,Bonilha L

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  • Nuclear magnetic resonance imaging, a new approach to the investigation of refractory temporal lobe epilepsy.

    abstract::Nuclear magnetic resonance is a noninvasive technique of imaging the brain using signals produced by magnetic fields and radiowaves. Sixteen patients with refractory temporal lobe epilepsy (TLE) had magnetic resonance imaging (MRI) during investigation for possible surgical management. These images plus those of 10 no...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05691.x

    authors: McLachlan RS,Nicholson RL,Black S,Carr T,Blume WT

    更新日期:1985-11-01 00:00:00

  • Should epileptiform discharges be treated?

    abstract::To evaluate the impact of epileptiform discharges (EDs) that do not occur within seizure patterns--such as spikes, sharp waves or spike waves--on cognitive function and to discuss the circumstances under which treatment of EDs might be considered. Methods used in this article is "Review of the literature". EDs may dis...

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  • Outcome of surgical treatment in familial mesial temporal lobe epilepsy.

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  • A blinded, crossover study of the efficacy of the ketogenic diet.

    abstract::Despite over 80 years of use, the ketogenic diet (KD) has never been tested in a blinded manner. Twenty children with intractable Lennox-Gastaut syndrome (LGS) were fasted 36 h and then randomized to receive the classic KD in conjunction with a solution containing either 60 g/day of glucose or saccharin. Parents and p...

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  • Reliability and validity of a Norwegian version of the quality of life in epilepsy inventory (QOLIE-89).

    abstract:PURPOSE:To develop a Norwegian version of the Quality of Life in Epilepsy Inventory (QOLIE-89) and to confirm its psychometric properties. METHODS:The QOLIE-89 was adapted to Norwegian language through a translation-backtranslation procedure. The assessment included 397 patients with epilepsy. We assessed internal con...

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb01511.x

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    更新日期:2000-01-01 00:00:00

  • Effects of hippocampus-sparing resections in the temporal lobe: Hippocampal atrophy is associated with a decline in memory performance.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16473

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  • Epilepsy in primary cerebral tumors: the characteristics of epilepsy at the onset (results from the PERNO study--Project of Emilia Romagna Region on Neuro-Oncology).

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    更新日期:2013-10-01 00:00:00

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  • Mechanisms of status epilepticus: α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor hypothesis.

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    doi:10.1111/epi.14482

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    更新日期:1986-05-01 00:00:00