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

Abstract:

:The combination of phenobarbital (PB) and phenytoin (PHT) was recommended for many years for treatment of epilepsy in humans. We tested the effectiveness of the combination in a model of hippocampal seizures termed maximal dentate activation (MDA). Two parameters of MDA were measured: duration and time to onset. Neither the vehicle controls nor PHT 80 mg/kg had an effect on duration or time to onset of MDA. PB 20 mg/kg delayed the normal increase in MDA duration and had no effect on time to onset. Addition of increasing doses of PHT to the 20-mg/kg dose of PB caused a dose-dependent decrease in MDA duration and a dose-dependent increase in time to onset. These effects do not appear to be due to an increase in serum level of either drug when administered together. We showed that the combination of PB and PHT has actions in an experimental model of limbic seizures that are not produced by either drug alone. Therefore, clinical use of the combination does have some experimental justification.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Stringer JL,Higgins MG

doi

10.1111/j.1528-1157.1994.tb02936.x

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

216-20

issue

1

eissn

0013-9580

issn

1528-1167

journal_volume

35

pub_type

杂志文章
  • MDR1 gene expression in brain of patients with medically intractable epilepsy.

    abstract::Why some patients with seizures are successfully treated with antiepileptic drugs (AEDs) and others prove medically intractable is not known. Inadequate intraparenchymal drug concentration is a possible mechanism of resistance to AEDs. The multiple drug resistance gene (MDR1) encodes P-glycoprotein, an energy-dependen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01657.x

    authors: Tishler DM,Weinberg KI,Hinton DR,Barbaro N,Annett GM,Raffel C

    更新日期:1995-01-01 00:00:00

  • Mechanisms of video-game epilepsy.

    abstract:PURPOSE:We aimed to elucidate the mechanisms underlying video-game epilepsy by comparing the flicker- and spatial-frequency ranges over which photic and pattern stimulation elicited photoparoxysmal responses in two different populations: (a) 25 patients with a history of seizures experienced while playing video games; ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00903.x

    authors: Fylan F,Harding GF,Edson AS,Webb RM

    更新日期:1999-01-01 00:00:00

  • On seeing the trees and the forest: single-signal and multisignal analysis of periictal intracranial EEG.

    abstract:PURPOSE:Epileptic seizures are associated with a dysregulation of electrical brain activity on many different spatial scales. To better understand the dynamics of epileptic seizures, that is, how the seizures initiate, propagate, and terminate, it is important to consider changes of electrical brain activity on differe...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03588.x

    authors: Schindler K,Gast H,Goodfellow M,Rummel C

    更新日期:2012-09-01 00:00:00

  • Postictal mania versus postictal psychosis: differences in clinical features, epileptogenic zone, and brain functional changes during postictal period.

    abstract:PURPOSE:To clarify the differences between postictal mania (PIM) and postictal psychosis (PIP). METHODS:Five patients with PIM were compared to 17 patients with PIP, with respect to clinical, epileptological, electrophysiological, and neuroimaging features. PIM was distinguished from PIP by the symptoms observed in th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00893.x

    authors: Nishida T,Kudo T,Inoue Y,Nakamura F,Yoshimura M,Matsuda K,Yagi K,Fujiwara T

    更新日期:2006-12-01 00:00:00

  • Early onset myoclonic epilepsy and 15q26 microdeletion: observation of the first case.

    abstract::The authors report the study of a 30-month-old girl with refractory myoclonic epilepsy associated with mental retardation, growth delay, peculiar facial appearance, and minor physical anomalies. Extensive genetic studies were performed, including an array-based comparative genomic hybridization (array-CGH) that showed...

    journal_title:Epilepsia

    pub_type: 古典文章,杂志文章

    doi:10.1111/j.1528-1167.2009.02078.x

    authors: Veredice C,Bianco F,Contaldo I,Orteschi D,Stefanini MC,Battaglia D,Lettori D,Guzzetta F,Zollino M

    更新日期:2009-07-01 00:00:00

  • Hyperexcitability of CA3 pyramidal cells in mice lacking the potassium channel subunit Kv1.1.

    abstract:PURPOSE:To investigate further the membrane properties and postsynaptic potentials of the CA3 pyramidal cells in mice that display spontaneous seizures because of a targeted deletion of the Kcna1 potassium channel gene (encoding the Kv1.1 protein subunit). METHODS:Intracellular recordings were obtained from CA3 pyrami...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2003.44602.x

    authors: Lopantsev V,Tempel BL,Schwartzkroin PA

    更新日期:2003-12-01 00:00:00

  • Comparison of antiepileptic drugs on cognitive function in newly diagnosed epileptic children: a psychometric and neurophysiological study.

    abstract::Using a randomized parallel group study design, we compared the cognit ive effects of carbamazepine (CBZ), phenobarbital (PB), and valproate (VPA) in children with epilepsy. Seventy-three children with newly diagnosed epilepsy were tested with the Wechsler Intelligence Scale for Children-Revised (WISC-R), Bender-Gesta...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1996.tb00516.x

    authors: Chen YJ,Kang WM,So WC

    更新日期:1996-01-01 00:00:00

  • Evidence for a role of the parafascicular nucleus of the thalamus in the control of epileptic seizures by the superior colliculus.

    abstract:PURPOSE:The aim of this study was to investigate whether the nucleus parafascicularis (Pf) of the thalamus could be a relay of the control of epileptic seizures by the superior colliculus (SC). The Pf is one of the main ascending projections of the SC, the disinhibition of which has been shown to suppress seizures in d...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2005.30304.x

    authors: Nail-Boucherie K,Lê-Pham BT,Gobaille S,Maitre M,Aunis D,Depaulis A

    更新日期:2005-01-01 00:00:00

  • Epilepsy in general practice: the Dutch situation.

    abstract::Treatment and supervision of epileptic patients is part of specialist medicine. A possible change in the role of specialists and general practitioners in the care of these patients was explored by a questionnaire mailed to all Dutch neurologists and a random sample of general practitioners. Patients were also asked th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03603.x

    authors: Rutgers MJ

    更新日期:1986-11-01 00:00:00

  • Callosal bisection and transcallosal secondary antiepileptogenesis.

    abstract::More than 28,000 neuroscientists and 3,000 epileptologists gathered at their respective 2001 meetings of the Society for Neuroscience and the American Epilepsy Society. Yet only six articles, one directly and five indirectly, discussed the corpus callosum (CC). Is not this in itself a remarkable finding? Are there no ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.0013-9580.2005.461002.x

    authors: Wada JA

    更新日期:2005-01-01 00:00:00

  • Double-blind, placebo-controlled evaluation of cinromide in patients with the Lennox-Gastaut Syndrome. The Group for the Evaluation of Cinromide in the Lennox-Gastaut Syndrome.

    abstract::This study evaluated the effects of cinromide in patients with Lennox-Gastaut Syndrome. No difference between cinromide and placebo was shown in terms of seizure reduction or global evaluations. This study is important, however, because it represents an effort to overcome methodologic difficulties inherent in evaluati...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1528-1157.1989.tb05321.x

    authors:

    更新日期:1989-07-01 00:00:00

  • Focal cortical dysplasia type IIb: completeness of cortical, not subcortical, resection is necessary for seizure freedom.

    abstract:PURPOSE:Focal cortical dysplasia type IIb (FCD IIb) lesions are highly epileptogenic and frequently cause pharmacoresistant epilepsy. Complete surgical resection leads to seizure freedom in most cases. However, the term "complete" resection is controversial with regard to the necessity of performing resections of the s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03158.x

    authors: Wagner J,Urbach H,Niehusmann P,von Lehe M,Elger CE,Wellmer J

    更新日期:2011-08-01 00:00:00

  • Regional expression of multidrug resistance genes in genetically epilepsy-prone rat brain after a single audiogenic seizure.

    abstract:PURPOSE:The multidrug resistance (mdr) gene family encodes the drug transport macromolecule P-glycoprotein (P-gp), which contributes to the functionality of the blood-brain barrier. Recent evidence suggests that P-gp-mediated drug extrusion may play a facilitatory role in refractory epilepsy. We investigated the region...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.156702.x

    authors: Kwan P,Sills GJ,Butler E,Gant TW,Meldrum BS,Brodie MJ

    更新日期:2002-11-01 00:00:00

  • Distinction between normal and epileptic rhythms in rodent sensorimotor cortex.

    abstract::Characteristics of spontaneous spindling in electrocorticograms from awake rodents are described. Comparisons are made between this spontaneous activity and epileptic activity generated in the sensorimotor cortex. ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1979.tb04833.x

    authors: Hammond EJ,Villarreal HJ,Wilder BJ

    更新日期:1979-10-01 00:00:00

  • The influence of electroencephalographic focus laterality on efficacy of carbamazepine in complex partial and secondarily generalized tonic-clonic seizures.

    abstract::Forty-five outpatients with chronic epilepsy with complex partial seizures (CPS) alone or associated with secondarily generalized tonic-clonic seizures (SGTCS) were treated with carbamazepine (CBZ) monotherapy. All patients had only a unilateral scalp electroencephalographic (EEG) focus. Left- (n = 29) and right- (n =...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb04713.x

    authors: Defazio G,Lepore V,Specchio LM,Pisani F,Livrea P

    更新日期:1991-09-01 00:00:00

  • Amygdala kindling of forebrain seizures and the occurrence of brainstem seizures in genetically epilepsy-prone rats.

    abstract::Forebrain seizures were kindled in rats by daily electrical stimulation of the amygdala. Genetically epilepsy-prone rats scoring 9 (GEPR-9s) on the seizure severity scale during audiogenic seizure (AGS) screening ("brainstem seizure-experienced") required fewer stimulations to achieve fully kindled seizures (forelimb ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00011.x

    authors: Coffey LL,Reith ME,Chen NH,Mishra PK,Jobe PC

    更新日期:1996-02-01 00:00:00

  • Interaction between anticonvulsants and human placental carnitine transporter.

    abstract:PURPOSE:To examine the inhibitory effect of anticonvulsants (AEDs) on carnitine transport by the human placental carnitine transporter. METHODS:Uptake of radiolabeled carnitine by human placental brush-border membrane vesicles was measured in the absence and presence of tiagabine (TGB), vigabatrin (VGB), gabapentin (G...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.29603.x

    authors: Wu SP,Shyu MK,Liou HH,Gau CS,Lin CJ

    更新日期:2004-03-01 00:00:00

  • Automated EEG monitoring in defining a chronic epilepsy model.

    abstract::There has been a recent surge of interest in chronic animal models of epilepsy. Proper assessment of these models requires documentation of spontaneous seizures by EEG, observation, or both in each individual animal to confirm the presumed epileptic condition. We used the same automatic seizure detection system as tha...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02529.x

    authors: Mascott CR,Gotman J,Beaudet A

    更新日期:1994-07-01 00:00:00

  • The impact of nonadherence to antiseizure drugs on seizure outcomes in an animal model of epilepsy.

    abstract:OBJECTIVE:Nonadherence to prescribed dosing regimens is a significant problem in the treatment of pediatric and adult chronic epilepsy, and can result in severe consequences to patient outcomes. In this first-of-kind preclinical study, the impact of nonadherence on seizure control was studied by simulating human patter...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13742

    authors: Thomson KE,Modi AC,Glauser TA,Rausch JR,Steve White H

    更新日期:2017-06-01 00:00:00

  • Do children with benign rolandic epilepsy have a higher prevalence of migraine than those with other partial epilepsies or nonepilepsy controls?

    abstract:PURPOSE:Prior studies have given conflicting data concerning the association of benign rolandic epilepsy of childhood (BREC) and migraine but were limited by lack of sensitive, diagnostic criteria for childhood migraine. By using revised International Headache Society (IHS-R) criteria, we compared the prevalence of mig...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00639.x

    authors: Wirrell EC,Hamiwka LD

    更新日期:2006-10-01 00:00:00

  • Neurodevelopment in seizure-prone and seizure-resistant rat strains: recognizing conflicts in management.

    abstract::Cytoarchitectural alterations during central nervous system (CNS) development are believed to underlie aberrations in brain morphology that lead to epilepsy. We have recently reported marked reductions in hippocampal and white matter volumes along with relative ventriculomegaly in a rat strain bred to be seizure-prone...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01298.x

    authors: Gilby KL,Crino P,McIntyre DC

    更新日期:2007-01-01 00:00:00

  • Optimizing the molecular diagnosis of CDKL5 gene-related epileptic encephalopathy in boys.

    abstract:OBJECTIVE:Mutations involving the cyclin-dependent kinase-like 5 (CDKL5) gene cause an early onset epileptic encephalopathy (EE) with severe neurologic impairment and a skewed 12:1 female-to-male ratio. To date, 18 mutations have been described in boys. We analyzed our cohort of boys with early onset EE to assess the d...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12803

    authors: Mei D,Darra F,Barba C,Marini C,Fontana E,Chiti L,Parrini E,Dalla Bernardina B,Guerrini R

    更新日期:2014-11-01 00:00:00

  • Cortical benzodiazepine receptor binding in patients with generalized and partial epilepsy.

    abstract::Impaired cortical inhibition may be involved in epileptogenic mechanisms. In a positron-emission tomography (PET) study, we demonstrated a reduction of the cortical benzodiazepine (BZD) receptor density in the epileptic foci of patients with partial epileptic seizures. In the present study, we used the same method in ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05513.x

    authors: Savic I,Widen L,Thorell JO,Blomqvist G,Ericson K,Roland P

    更新日期:1990-11-01 00:00:00

  • Relationships between seizure severity and health-related quality of life in refractory localization-related epilepsy.

    abstract:PURPOSE:To evaluate relationships between self-report measures of seizure severity and health-related quality of life (HRQOL) in people with refractory localization-related epilepsy. METHODS:A sample of 340 adults enrolled in a seven-center, prospective study of resective epilepsy surgery completed baseline questionna...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1528-1157.2000.tb00239.x

    authors: Vickrey BG,Berg AT,Sperling MR,Shinnar S,Langfitt JT,Bazil CW,Walczak TS,Pacia S,Kim S,Spencer SS

    更新日期:2000-06-01 00:00:00

  • Innovative clinical trial designs for future antiepileptic drugs.

    abstract::Pharmacoresistance continues to be a challenging problem for a substantial number of epileptic patients and their attending physicians. In the past 10 years, we have made little progress in reducing the incidence of refractory epilepsy and have no innovative plans in place with the potential to do so. In this article,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.00996.x

    authors: Dichter MA

    更新日期:2007-01-01 00:00:00

  • Circadian/multidien Molecular Oscillations and Rhythmicity of Epilepsy (MORE).

    abstract::The occurrence of seizures at specific times of the day has been consistently observed for centuries in individuals with epilepsy. Electrophysiological recordings provide evidence that seizures have a higher probability of occurring at a given time during the night and day cycle in individuals with epilepsy here refer...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16716

    authors: Bernard C

    更新日期:2020-10-16 00:00:00

  • Neuropsychological outcomes in randomized controlled trials of antiepileptic drugs: a systematic review of methodology and reporting standards.

    abstract:PURPOSE:To systematically review the methodology and use of neuropsychological tests in randomized controlled trials (RCTs) of antiepileptic drugs (AEDs) in patients with epilepsy. METHODS:Trial reports were found by searching Medline 1966-1996 and searching through journals by hand. Inclusion and exclusion criteria w...

    journal_title:Epilepsia

    pub_type: 杂志文章,meta分析

    doi:10.1111/j.1528-1157.1998.tb01295.x

    authors: Cochrane HC,Marson AG,Baker GA,Chadwick DW

    更新日期:1998-10-01 00:00:00

  • NER rat strain: a new type of genetic model in epilepsy research.

    abstract:PURPOSE:We characterized and evaluated as an animal model of epilepsy NER, a new epileptic rat strain, which was developed by inbreeding rats with spontaneous tonic-clonic seizures in a stock of Crj:Wistar. METHODS:Animals were monitored through the inbreeding course, and video-EEGs were recorded selectively. External...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01281.x

    authors: Noda A,Hashizume R,Maihara T,Tomizawa Y,Ito Y,Inoue M,Kobayashi K,Asano Y,Sasa M,Serikawa T

    更新日期:1998-01-01 00:00:00

  • Increased excitability and molecular changes in adult rats after a febrile seizure.

    abstract::Both early life inflammation and prolonged febrile seizures have been associated with increased excitation in the adult brain. We hypothesized this may be due in part to changes in the cation-chloride cotransporter system. Rat pups received saline or lipopolysaccharide/kainic acid (LPS/KA) resulting in inflammation, f...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12061

    authors: Reid AY,Riazi K,Campbell Teskey G,Pittman QJ

    更新日期:2013-04-01 00:00:00

  • Cognitive, psychosocial, and family function one year after pediatric epilepsy surgery.

    abstract:PURPOSE:Assumptions regarding the benefits of seizure control after pediatric epilepsy surgery for cognitive, psychosocial, and family function were explored in a prospective study of 51 children with intractable epilepsy. METHODS:Thirty children who underwent surgery were studied before and 1 year after surgery, and ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.21903.x

    authors: Smith ML,Elliott IM,Lach L

    更新日期:2004-06-01 00:00:00