Systematic testing of medical intractability for carbamazepine, phenytoin, and phenobarbital or primidone in monotherapy for patients considered for epilepsy surgery.

Abstract:

PURPOSE:To assess medical intractability in patients considered for restrictive epilepsy surgery. METHODS:Seventy-four patients received single drug treatment with carbamazepine (CBZ), phenytoin (PHT), and either phenobarbital (PB) or primidone (PRM). Medical intractability was established if seizure control was not obtained despite maximum tolerable doses of the drug. In all, 120 single drug treatments were administered with the drugs that has not been administered at maximal doses in monotherapy before the study. RESULTS:Complete seizure control was not achieved in any patient. However, 7 patients (9.5%) had significant seizure reduction of at least 80%. In 4 patients, only the third antiepileptic drug (AED) proved effective. CONCLUSION:The poor result of AED monotherapy in our patients may be attributed to the patients' long-standing chronic epilepsies and high seizure frequencies. Our findings suggest that despite the failure of one or two major AEDs in controlling seizures completely, further single drug treatment may still improve the quality of life in some patients who are candidates for epilepsy surgery.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Hermanns G,Noachtar S,Tuxhorn I,Holthausen H,Ebner A,Wolf P

doi

10.1111/j.1528-1157.1996.tb00632.x

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

675-9

issue

7

eissn

0013-9580

issn

1528-1167

journal_volume

37

pub_type

临床试验,杂志文章
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    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02389.x

    authors: Jacobs J,Zijlmans M,Zelmann R,Olivier A,Hall J,Gotman J,Dubeau F

    更新日期:2010-04-01 00:00:00

  • Voxel-based magnetic resonance image postprocessing in epilepsy.

    abstract:OBJECTIVE:Although the general utility of voxel-based processing of structural magnetic resonance imaging (MRI) data for detecting occult lesions in focal epilepsy is established, many differences exist among studies, and it is unclear which processing method is preferable. The aim of this study was to compare the abil...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13851

    authors: Martin P,Winston GP,Bartlett P,de Tisi J,Duncan JS,Focke NK

    更新日期:2017-09-01 00:00:00

  • Vagus nerve stimulation elevates seizure threshold in the kindling model.

    abstract:PURPOSE:  Vagus nerve stimulation (VNS) provides partial relief of medically refractory partial seizures in a subset of patients. The optimal pattern of stimulation and the mechanism of the antiseizure effects are uncertain. Establishing the efficacy of VNS in an animal model of epilepsy would provide an experimental p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03646.x

    authors: Alexander GM,McNamara JO

    更新日期:2012-11-01 00:00:00

  • Seizure onset predicts its type.

    abstract:OBJECTIVE:Epilepsy is characterized by transient alterations in brain synchronization resulting in seizures with a wide spectrum of manifestations. Seizure severity and risks for patients depend on the evolution and spread of the hypersynchronous discharges. With standard visual inspection and pattern classification, t...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13997

    authors: Donos C,Maliia MD,Dümpelmann M,Schulze-Bonhage A

    更新日期:2018-03-01 00:00:00

  • Temporal lobe epilepsy subtypes: differential patterns of cerebral perfusion on ictal SPECT.

    abstract:PURPOSE:We studied cerebral perfusion patterns in the various subtypes of TLE, as determined by pathology and good outcome after temporal lobectomy (as confirmation of temporal origin). METHODS:We studied clinical features and ictal technetium 99m hexamethyl-propyleneamineoxime (99mTc-HM-PAO) single-photon emission-co...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00653.x

    authors: Ho SS,Berkovic SF,McKay WJ,Kalnins RM,Bladin PF

    更新日期:1996-08-01 00:00:00

  • Significance of bisynchronous spike-waves in patients with temporal lobe spikes.

    abstract::We examined the clinical significance of bisynchronous spike-wave complexes which appear in EEGs of some patients with focal spikes in one or both temporal lobes. Few features distinguished patients with bisynchronous spike-waves from those with only focal temporal spikes: a higher incidence of patients with more than...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05446.x

    authors: Sadler RM,Blume WT

    更新日期:1989-03-01 00:00:00

  • Adjuvant vigabatrin in refractory epilepsy: a ceiling to effective dosage in individual patients?

    abstract::A double-blind, randomized, cross-over study of additional vigabatrin (gamma-vinyl-GABA, VGB, 1.0 g twice daily for 6 weeks, followed by 1.5 g twice daily for 6 weeks) and matched placebo was undertaken in 24 patients with refractory epilepsy. Nineteen completed the trial satisfactorily. Fewer seizure days were report...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1993.tb02115.x

    authors: McKee PJ,Blacklaw J,Friel E,Thompson GG,Gillham RA,Brodie MJ

    更新日期:1993-09-01 00:00:00

  • Isovaline, a rare amino acid, has anticonvulsant properties in two in vitro hippocampal seizure models by increasing interneuronal activity.

    abstract:PURPOSE:We investigated whether RS-isovaline, a unique amino acid found in carbonaceous meteorites and presumed extraterrestrial, has anticonvulsant properties in rat hippocampal slices in vitro. METHODS:Extracellular recordings were obtained in the rat hippocampal CA1 pyramidal layer in two in vitro seizure models: p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03260.x

    authors: Shin DS,Yu W,Sutton A,Calos M,Puil E,Carlen PL

    更新日期:2011-11-01 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

  • Physiological factors in childhood epilepsy.

    abstract::The identification and correction of adverse physiological changes that lead to seizures in children can improve the effectiveness of current therapeutic practices in epilepsy. It is proposed that various circadian rhythms (respiration, hormones, water balance, electrolytes, intracranial pressure, blood pressure), met...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1980.tb04090.x

    authors: LeWinn EB

    更新日期:1980-08-01 00:00:00

  • Lack of change in neurochemical markers during the postepileptic phase of intrahippocampal tetanus toxin syndrome in rats.

    abstract::The chronic epileptic syndrome induced by injecting tetanus toxin into rat hippocampus causes functional changes that essentially are permanent, outlasting the period of active seizures by at least 1 year. These long-term changes have been characterized by an impaired performance on a range of behavioral tasks, which ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05508.x

    authors: Francis PT,Lowe SL,Bowen DM,Jefferys JG

    更新日期:1990-11-01 00:00:00

  • Functional analysis of epilepsy-associated variants in STXBP1/Munc18-1 using humanized Caenorhabditis elegans.

    abstract:OBJECTIVE:Genetic variants in STXBP1, which encodes the conserved exocytosis protein Munc18-1, are associated with a variety of infantile epilepsy syndromes. We aimed to develop an in vivo Caenorhabditis elegans model that could be used to test the pathogenicity of such variants in a cost-effective manner. METHODS:The...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16464

    authors: Zhu B,Mak JCH,Morris AP,Marson AG,Barclay JW,Sills GJ,Morgan A

    更新日期:2020-04-01 00:00:00

  • Development of a genomics module within an epilepsy-specific electronic health record: Toward genomic medicine in epilepsy care.

    abstract:OBJECTIVES:Both clinical genomics and e-Health technology are changing the way medicine is being practiced. Although the basic clinical methodology of good medical care will remain unchanged, the combined power of genomics and electronic health records has the capability of enhancing, and in some cases transforming, th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16278

    authors: Delanty N,White M,Benson K,McCormack M,Heavin S,Comerford E,Gangadharan N,Power K,Dunleavey B,El-Naggar H,Doherty C,Greally M,Cavalleri G,Fitzsimons M

    更新日期:2019-08-01 00:00:00

  • Risk of epilepsy in long-term survivors of surgery for aneurysmal subarachnoid hemorrhage: a population-based study in Iceland.

    abstract:PURPOSE:Epilepsy is known to result from aneurysmal subarachnoid hemorrhage (SAH). There are no population-based estimates of the absolute risk or the duration for which this risk is elevated. We have conducted a population-based study in Iceland of the risk of epilepsy after a ruptured cerebral aneurysm to address the...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00326.x

    authors: Olafsson E,Gudmundsson G,Hauser WA

    更新日期:2000-09-01 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

  • Clobazam: An effective add-on therapy in refractory status epilepticus.

    abstract::Refractory status epilepticus (RSE) is a medical emergency, with significant morbidity and mortality. The use and effectiveness of clobazam, a unique 1,5-benzodiazepine, in the management of RSE has not been reported before. Over the last 24 months, we identified 17 patients with RSE who were treated with clobazam in ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13013

    authors: Sivakumar S,Ibrahim M,Parker D Jr,Norris G,Shah A,Mohamed W

    更新日期:2015-06-01 00:00:00

  • Canine epilepsy as a translational model?

    abstract::Dogs with spontaneous diseases can exhibit a striking similarity in etiology, clinical manifestation, and disease course when compared to human patients. Therefore, dogs are intensely discussed as a translational model of human disease. In particular, genetic studies in selected dog breeds serve as an excellent tool t...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12138

    authors: Potschka H,Fischer A,von Rüden EL,Hülsmeyer V,Baumgärtner W

    更新日期:2013-04-01 00:00:00

  • Neuroanatomic correlates of psychogenic nonepileptic seizures: a cortical thickness and VBM study.

    abstract:PURPOSE:Psychogenic nonepileptic seizures (PNES) are among the most common clinical manifestations of conversion disorder and consist of paroxysmal behavior that resembles epileptic seizures. Preliminary data from functional neuroimaging studies gave plausible evidence that limbic circuits and sensorimotor cortex might...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03347.x

    authors: Labate A,Cerasa A,Mula M,Mumoli L,Gioia MC,Aguglia U,Quattrone A,Gambardella A

    更新日期:2012-02-01 00:00:00

  • An assessment of the potential value of elevated homocysteine in predicting alcohol-withdrawal seizures.

    abstract:PURPOSE:Higher homocysteine levels were found in actively drinking patients with alcohol dependence. Recent studies have shown that high homocysteine levels are associated with alcohol-withdrawal seizures. The aim of the present study was to calculate the best predictive cutoff value of plasma homocysteine levels in ac...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00560.x

    authors: Bleich S,Bayerlein K,Hillemacher T,Degner D,Kornhuber J,Frieling H

    更新日期:2006-05-01 00:00:00

  • SCN2A mutations and benign familial neonatal-infantile seizures: the phenotypic spectrum.

    abstract::Mutations of the sodium channel subunit gene SCN2A have been described in families with benign familial neonatal-infantile seizure (BFNIS). We describe two large families with BFNIS and novel SCN2A mutations. The families had 12 and 9 affected individuals, respectively, with phenotypes consistent with BFNIS. Two mutat...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2007.01049.x

    authors: Herlenius E,Heron SE,Grinton BE,Keay D,Scheffer IE,Mulley JC,Berkovic SF

    更新日期:2007-06-01 00:00:00

  • Corpus callosum low-frequency stimulation suppresses seizures in an acute rat model of focal cortical seizures.

    abstract:OBJECTIVE:Low-frequency fiber-tract stimulation has been shown to be effective in treating mesial temporal lobe epilepsies through activation of the hippocampal commissure in rodents and human patients. The corpus callosum is a major pathway connecting the two hemispheres of the brain; however, few experiments have doc...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14595

    authors: Couturier NH,Durand DM

    更新日期:2018-12-01 00:00:00

  • Local spatial effect of 50 Hz cortical stimulation in humans.

    abstract:PURPOSE:Cortical stimulation to abort seizures is under human investigation. Ideal electrode placement and stimulating parameters are unknown with poor understanding of tissue volume affected by stimulation or duration and nature of its effect on cortical activity. To help characterize this effect, we analyzed electroc...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01628.x

    authors: Gwinn RP,Spencer DD,Spencer SS,Duckrow RB,Vives K,Wu K,Tkeshelashvili D,Zaveri HP

    更新日期:2008-09-01 00:00:00

  • Distribution of pyramidal cell density and hyperexcitability in the epileptic human hippocampal formation.

    abstract::Pyramidal cell densities in various regions of the anterior and posterior hippocampal formation were measured from en bloc temporal lobe resections and compared with presurgical stereoelectroencephalography (SEEG) data derived from depth electrodes in 12 patients with temporal lobe epilepsy. These data were compared w...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1984.tb03483.x

    authors: Babb TL,Lieb JP,Brown WJ,Pretorius J,Crandall PH

    更新日期:1984-12-01 00:00:00

  • Pathophysiological mechanisms of focal cortical dysplasia: a critical review of human tissue studies and animal models.

    abstract::Cortical dysplasia (CD, also known as malformations of cortical development) are the pathological substrates in a large percentage of patients with pharmacoresistant epilepsy who may be amenable to surgical treatment. Therefore, research on the mechanisms of dysplastic lesion formation and epileptogenicity is of param...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01064.x

    authors: Najm IM,Tilelli CQ,Oghlakian R

    更新日期:2007-01-01 00:00:00

  • Effects of prenatal antiepileptic drug exposure on newborn brain activity.

    abstract:OBJECTIVE:Prenatal exposure to antiepileptic drugs (AEDs) is associated with an increased risk of cognitive dysfunction at early school age. Our aim was to investigate whether signs of adverse drug effects on brain function could be detected already during the first 2 weeks of life. METHODS:We studied prospectively 56...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13281

    authors: Videman M,Tokariev A,Stjerna S,Roivainen R,Gaily E,Vanhatalo S

    更新日期:2016-02-01 00:00:00

  • Effect of phenytoin on antibody production: use of a murine model.

    abstract::An animal model was used to study the effects of phenytoin on immune function. Inbred NFS mice, injected with phenytoin, 10-40 mg/kg, and immunized with bovine serum albumin (BSA), demonstrated a dose-dependent decrease in production of IgG antibodies to BSA. Phenytoin at the dosages used in this study did not appear ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03627.x

    authors: Margaretten NC,Warren RP

    更新日期:1987-01-01 00:00:00

  • Withdrawal of valproic acid treatment during pregnancy and seizure outcome: Observations from EURAP.

    abstract::Based on data from the EURAP observational International registry of antiepileptic drugs (AEDs) and pregnancy, we assessed changes in seizure control and subsequent AED changes in women who underwent attempts to withdraw valproic acid (VPA) during the first trimester of pregnancy. Applying Bayesian statistics, we comp...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13437

    authors: Tomson T,Battino D,Bonizzoni E,Craig J,Lindhout D,Perucca E,Sabers A,Thomas SV,Vajda F,EURAP Study Group.

    更新日期:2016-08-01 00:00:00

  • Changes of cortical interhemispheric responses after status epilepticus in immature rats.

    abstract:PURPOSE:To study cortical excitability after status epilepticus induced in two age groups of immature rats. METHODS:Lithium-pilocarpine status epilepticus was elicited in 12- (SE12) or 25-day-old (SE25) rats. Control siblings received saline instead of pilocarpine. Interhemispheric responses were elicited by stimulati...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.01004.x

    authors: Mares P,Tsenov G,Aleksakhina K,Druga R,Kubová H

    更新日期:2005-01-01 00:00:00

  • Changes in nitric oxide synthesis and epileptic activity in the contralateral hippocampus of rats following intrahippocampal kainate injection.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.083032.x

    authors: Yasuda H,Fujii M,Fujisawa H,Ito H,Suzuki M

    更新日期:2001-01-01 00:00:00

  • Clinical pharmacology of lamotrigine.

    abstract::The pharmacokinetics and pharmacodynamics of lamotrigine (LTG), a new antiepileptic drug (AED), were studied in healthy volunteers. In an open dose-escalating study, LTG 240 mg produced peak plasma concentrations of around 3 micrograms/mg with no significant adverse events. Subsequent pharmacokinetic studies revealed ...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,评审

    doi:10.1111/j.1528-1157.1991.tb05883.x

    authors: Peck AW

    更新日期:1991-01-01 00:00:00