Allergy to carbamazepine: parallel in vivo and in vitro detection.

Abstract:

PURPOSE:Five to 20% of patients discontinue antiepileptic drug (AED) therapy because of adverse reactions. Careful reintroduction, however, may be considered if true drug allergy can be ruled out. Definitive assessment of such immunologically mediated reactions requires demonstration of either specific antibodies or sensitized lymphocytes. METHODS:We investigated whether skin patch tests (PTs) and in vitro lymphocyte proliferation assays (LPAs) were suitable for detection of allergy to carbamazepine (CBZ) and the possibly cross-reactive oxcarbazepine (OCBZ). Data of 65 patients displaying a wide range of possibly allergic side effects to CBZ were available for analysis. Data of CBZ users without any side effects and healthy volunteers served as controls. Both PTs and LPAs were done with CBZ, OCBZ and three metabolites [CBZ-10,11-epoxide (CBZ-E), 10-monohydroxy-CBZ (MHD), and 10,11-dihydroxy-CBZ (DIOL)]. RESULTS:Positive PTs with CBZ were seen in 20% and with OCBZ in 14% of the patients. Positive LPA results with CBZ and OCBZ, respectively, were found in 40 and 19%. Both tests were positive in 14 and 7% of the patients. Cross-reactivity to OCBZ was seen in -40% of CBZ-reactive patients in both PTs and LPAs. CONCLUSION:These data illustrate the additional value of LPAs in the detection of CBZ allergy while showing that a major part of side effects to CBZ and OCBZ is not immunologically mediated, according to PTs and LPAs.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Troost RJ,Van Parys JA,Hooijkaas H,van Joost T,Benner R,Prens EP

doi

10.1111/j.1528-1157.1996.tb01030.x

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

1093-9

issue

11

eissn

0013-9580

issn

1528-1167

journal_volume

37

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02353.x

    authors: Swartjes JM,van Geijn HP,Meinardi H,Mantel R

    更新日期:1992-07-01 00:00:00

  • Induction of new carbonic anhydrase II following treatment with acetazolamide in DBA and C57 mice.

    abstract::The mechanism by which animals develop tolerance to the antiepileptic effects of the carbonic anhydrase (CA) inhibitor, acetazolamide, was explored using a quantitative immunocytochemical method. Cerebral cortex sections of DBA/2J mice susceptible to audiogenic seizures and of C57BL/6J nonsusceptible mice were stained...

    journal_title:Epilepsia

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    doi:10.1111/j.1528-1157.1986.tb03576.x

    authors: Banks DA,Anderson RE,Woodbury DM

    更新日期:1986-09-01 00:00:00

  • Short-term plasticity of hippocampal neuropeptides and neuronal circuitry in experimental status epilepticus.

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    doi:10.1046/j.1528-1157.43.s.5.1.x

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    更新日期:2002-01-01 00:00:00

  • Spectrum of clinical and histopathologic responses to intracranial electrodes: from multifocal aseptic meningitis to multifocal hypersensitivity-type meningovasculitis.

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    journal_title:Epilepsia

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    doi:10.1046/j.1528-1157.2001.042007895.x

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    更新日期:2001-07-01 00:00:00

  • An epidemiological study of children with status epilepticus in Okayama, Japan.

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    journal_title:Epilepsia

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    doi:10.1111/j.1528-1167.2007.01106.x

    authors: Nishiyama I,Ohtsuka Y,Tsuda T,Inoue H,Kunitomi T,Shiraga H,Kimura T,Fujimoto K

    更新日期:2007-06-01 00:00:00

  • Catastrophic focal epilepsy.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.04002.x

    authors: Kuzniecky R

    更新日期:2004-01-01 00:00:00

  • Reduction of duration and severity of megimide seizures in rats on a folic acid deficient diet.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb04987.x

    authors: Hommes OR,ten Berge EJ,Jansen MJ,Kok JC

    更新日期:1977-12-01 00:00:00

  • Mechanistic hypotheses for nonsynaptic epileptiform activity induction and its transition from the interictal to ictal state--computational simulation.

    abstract:PURPOSE:The aim of this work is to study, by means of computational simulations, the induction and sustaining of nonsynaptic epileptiform activity. METHODS:The computational model consists of a network of cellular bodies of neurons and glial cells connected to a three-dimensional (3D) network of juxtaposed extracellul...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01686.x

    authors: de Almeida AC,Rodrigues AM,Scorza FA,Cavalheiro EA,Teixeira HZ,Duarte MA,Silveira GA,Arruda EZ

    更新日期:2008-11-01 00:00:00

  • Long-term management of the ketogenic diet: seizure monitoring, nutrition, and supplementation.

    abstract::The ketogenic diet (KD) is a medical nutrition therapy (MNT) for the treatment of epilepsy. As such, it can affect the outcome of an individual's health and chronic medical condition. The components of MNT which have been established by the American Dietetic Association as core guidelines for nutrition care include a ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2008.01827.x

    authors: Zupec-Kania B,Zupanc ML

    更新日期:2008-11-01 00:00:00

  • Bilateral perisylvian ulegyria: an under-recognized, surgically remediable epileptic syndrome.

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    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

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    authors: Schilling LP,Kieling RR,Pascoal TA,Kim HI,Lee MC,Kim YH,Paglioli E,Neto PR,Costa JC,Palmini A

    更新日期:2013-08-01 00:00:00

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

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    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

  • Parental mosaicism in epilepsies due to alleged de novo variants.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.15187

    authors: Møller RS,Liebmann N,Larsen LHG,Stiller M,Hentschel J,Kako N,Abdin D,Di Donato N,Pal DK,Zacher P,Syrbe S,Dahl HA,Lemke JR

    更新日期:2019-06-01 00:00:00

  • Prospective validation study of an epilepsy seizure risk system for outpatient evaluation.

    abstract:OBJECTIVE:We conducted clinical testing of an automated Bayesian machine learning algorithm (Epilepsy Seizure Assessment Tool [EpiSAT]) for outpatient seizure risk assessment using seizure counting data, and validated performance against specialized epilepsy clinician experts. METHODS:We conducted a prospective longit...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16397

    authors: Chiang S,Goldenholz DM,Moss R,Rao VR,Haneef Z,Theodore WH,Kleen JK,Gavvala J,Vannucci M,Stern JM

    更新日期:2020-01-01 00:00:00

  • Self-reported and parent-reported quality of life of children and adolescents with new-onset epilepsy.

    abstract:PURPOSE:To investigate the self-reported quality of life (QOL) of children and adolescents with new-onset epilepsy and explore parent's perceptions of their child's QOL and the impact of epilepsy on the family. METHODS:As part of the Standard and New Antiepileptic Drug (SANAD) trial, 248 children (aged 8-15 years) wit...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03094.x

    authors: Taylor J,Jacoby A,Baker GA,Marson AG

    更新日期:2011-08-01 00:00:00

  • Pediatric epilepsy syndromes: an update and critical review.

    abstract::Epilepsy syndromes occupy an important position in the current nosology of the epilepsies, describing and classifying seizure disorders with shared clinical and EEG features. Increasingly, this schema is being refined as new information becomes available and our understanding of etiology and presentation of each syndr...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06020.x

    authors: Duchowny M,Harvey AS

    更新日期:1996-01-01 00:00:00

  • Time trends in incidence, mortality, and case-fatality after first episode of status epilepticus.

    abstract:PURPOSE:Status epilepticus (SE) is a medical emergency associated with a high mortality. Clinical series have suggested that mortality after SE has decreased. No studies have systematically examined trends in incidence, mortality, and case fatality after SE in a well-defined population. METHODS:All first episodes of S...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.0420081031.x

    authors: Logroscino G,Hesdorffer DC,Cascino G,Annegers JF,Hauser WA

    更新日期:2001-08-01 00:00:00

  • Effect of anticonvulsants on cortical focal seizure in cats.

    abstract::Electrical stimulation of the visual cortex evoked the cortical focal seizure restricted in the neighbor cortex of the stimulated area in gallamine-immobilized cats. The present experiment was performed to clarify the participation of anticonvulsants in the cortex itself. Phenytoin and carbamazepine depressed the foca...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb05588.x

    authors: Ito T,Hori M,Yoshida K,Shimizu M

    更新日期:1977-03-01 00:00:00

  • Effect of continuous positive airway pressure treatment on seizure control in patients with obstructive sleep apnea and epilepsy.

    abstract::In patients with epilepsy, improvement in seizure control with treatment of coexisting obstructive sleep apnea (OSA) has been reported, but there is lack of data on the effect of continuous positive airway pressure (CPAP) compliance on seizure control in these patients. We examined the variability in seizure frequency...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03214.x

    authors: Vendrame M,Auerbach S,Loddenkemper T,Kothare S,Montouris G

    更新日期:2011-11-01 00:00:00

  • Long-term effects of continual intake of phenobarbital on the spontaneously epileptic rat.

    abstract::Spontaneously epileptic rats (SER) are a double mutant (zi/zi, tm/tm) spontaneously exhibiting both tonic and absence-like seizures. We examined the long-term effects of continual intake of phenobarbital (PB) on SER as a method of assessing long-term evaluation of antiepileptic drugs (AEDs). Food pellets containing 0....

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05353.x

    authors: Serikawa T,Kogishi K,Yamada J,Ohno Y,Ujihara H,Fujita Y,Sasa M,Takaori S

    更新日期:1990-01-01 00:00:00

  • Neurocognitive effects of brivaracetam, levetiracetam, and lorazepam.

    abstract:PURPOSE:Brivaracetam (BRV) is a new anticonvulsant under development. Although BRV is an analog of levetiracetam (LEV), in addition to being an SV2A ligand, it also inhibits sodium channels in a voltage-dependent manner. The cognitive effects of BRV are uncertain. METHODS:A randomized, double-blind, placebo-controlled...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1528-1167.2010.02746.x

    authors: Meador KJ,Gevins A,Leese PT,Otoul C,Loring DW

    更新日期:2011-02-01 00:00:00

  • Zonisamide in epilepsy: a pilot study.

    abstract::We compared zonisamide monotherapy (12 weeks) to carbamazepine monotherapy (12 weeks) after phenytoin baseline monotherapy (8 weeks) in an open crossover pilot study of eight adults with uncontrolled partial seizures. Zonisamide had definite antiepileptic activity in five subjects. In two of these, response to zonisam...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05408.x

    authors: Wilensky AJ,Friel PN,Ojemann LM,Dodrill CB,McCormick KB,Levy RH

    更新日期:1985-05-01 00:00:00

  • Nonconvulsive status epilepticus in adults and children.

    abstract::Nonconvulsive status epilepticus (SE) accounts for approximately one-quarter of all cases of SE. The actual proportion may be higher because patients with nonconvulsive SE may go unidentified. This disorder may be divided into generalized (absence) or partial (complex partial) forms. Nonconvulsive SE may occur de novo...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1993.tb05903.x

    authors: Cascino GD

    更新日期:1993-01-01 00:00:00

  • Interictal EEG and the diagnosis of epilepsy.

    abstract::The interictal EEG provides information that aids in diagnosis and management of epilepsy. One must remember that the EEG is merely a tool, and its usefulness depends largely upon the skill of the individual who wields it. Like all diagnostic tests, it has significant limitations and cannot substitute for a careful hi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2006.00654.x

    authors: Pillai J,Sperling MR

    更新日期:2006-01-01 00:00:00

  • Comparison of the effects of valproate, ethosuximide, phenytoin, and pentobarbital on cerebral energy metabolism in the rat.

    abstract::The acute effects of valproate (200 and 400 mg/kg), ethosuximide (200 and 400 mg/kg), phenytoin (25 and 50 mg/kg), and pentobarbital (30 and 60 mg/kg) on cerebral energy metabolism of rats were studied by measuring the cerebral content of energy metabolites and by evaluating the rate of metabolite utilization followin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03642.x

    authors: Gueldry S,Rochette L,Bralet J

    更新日期:1987-03-01 00:00:00

  • Is the cell death in mesial temporal sclerosis apoptotic?

    abstract:PURPOSE:Mesial temporal sclerosis (MTS) is characterized by neuronal loss in the hippocampus. Studies on experimental models and patients with intractable epilepsy suggest that apoptosis may be involved in neuronal death induced by recurrent seizures. METHODS:We searched evidence for apoptotic cell death in temporal l...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.37402.x

    authors: Uysal H,Cevik IU,Soylemezoglu F,Elibol B,Ozdemir YG,Evrenkaya T,Saygi S,Dalkara T

    更新日期:2003-06-01 00:00:00

  • Role of comorbidities in outcome prediction after status epilepticus.

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    doi:10.1111/j.1528-1167.2012.03451.x

    authors: Alvarez V,Januel JM,Burnand B,Rossetti AO

    更新日期:2012-05-01 00:00:00

  • Phasic GABAA -receptor activation is required to suppress epileptiform activity in the CA3 region of the immature rat hippocampus.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03442.x

    authors: Kolbaev SN,Sharopov S,Dierkes PW,Luhmann HJ,Kilb W

    更新日期:2012-05-01 00:00:00

  • Epilepsy and the new cytogenetics.

    abstract::We set out to review the extent to which molecular karyotyping has overtaken conventional cytogenetics in applications related to epilepsy. Multiplex ligase-dependent probe amplification (MLPA) targeted to predetermined regions such as SCN1A and KCNQ2 has been effectively applied over the last half a decade, and oligo...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2010.02932.x

    authors: Mulley JC,Mefford HC

    更新日期:2011-03-01 00:00:00

  • Unverricht-Lundborg disease, a condition with self-limited progression: long-term follow-up of 20 patients.

    abstract:PURPOSE:To assess the long-term evolution of Unverricht-Lundborg disease (ULD), especially concerning myoclonus, seizures, and EEG characteristics. METHODS:We retrospectively evaluated 20 patients (six women, 14 men; mean age, 37.9 years; range, 26-53 years) with ULD who had been closely followed up since the onset of...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2006.00553.x

    authors: Magaudda A,Ferlazzo E,Nguyen VH,Genton P

    更新日期:2006-05-01 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