Role of vigabatrin and lamotrigine in treatment of childhood epileptic syndromes.

Abstract:

PURPOSE:Vigabatrin (VGB) and lamotrigine (LTG) are two new antiepileptic drugs (AEDs) with different mechanisms of action for treatment of refractory epilepsies. Previous reports have indicated efficacy of both drugs in a number of epileptic syndromes. METHODS:We compared these new AEDs drugs to determine their respective efficacy against different types of epileptic syndrome and to develop a rational approach to their use. We reviewed the charts of 105 children, with partial and generalized epilepsies. RESULTS:VGB was to be significantly more effective in children with partial epilepsies, and LTG was more effective in those with generalized epilepsies. CONCLUSIONS:VGB and LTG have different therapeutic profiles. Combination treatment with the two drugs may represent rational polytherapy for patients with epilepsy resistant to treatment with either drug alone or as add-on to other AED treatment.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Bélanger S,Coulombe G,Carmant L

doi

10.1111/j.1528-1157.1998.tb01184.x

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

878-83

issue

8

eissn

0013-9580

issn

1528-1167

journal_volume

39

pub_type

杂志文章
  • The new antiepileptic drugs and women: efficacy, reproductive health, pregnancy, and fetal outcome.

    abstract::As new antiepileptic drugs (AEDs) become available, physicians will define their appropriate use in particular patient populations. For women, the issues include gender-specific efficacy and tolerability, including the impact of the AED on reproductive health. Women with epilepsy who are treated with established AEDs ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06037.x

    authors: Morrell MJ

    更新日期:1996-01-01 00:00:00

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

    abstract:PURPOSE:Patients with medial temporal lobe epilepsy (MTLE) exhibit structural brain damage involving gray matter (GM) and white matter (WM). The mechanisms underlying tissue loss in MTLE are unclear and may be associated with a combination of seizure excitotoxicity and WM vulnerability. The goal of this study was to in...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12353

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

    更新日期:2013-10-01 00:00:00

  • Public knowledge and attitudes toward epilepsy in Kuwait.

    abstract:PURPOSE:The study was conducted to determine the familiarity with, knowledge of, misunderstandings, and attitudes toward epilepsy among the Kuwaiti population. METHODS:A pretested questionnaire was used to collect data from a sample of 784 Kuwaiti individuals, selected from five governorates in Kuwait using a multista...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01433.x

    authors: Awad A,Sarkhoo F

    更新日期:2008-04-01 00:00:00

  • The epidemiology and treatment of chronic and refractory epilepsy.

    abstract::In developed countries, the incidence of epilepsy is 50-100 cases per 100,000 population per year and the prevalence is approximately 5 to 8 cases per 1,000 population. Epilepsy is by far the most prevalent serious neurologic condition. Mortality rates in epilepsy are two to four times those found in matched nonepilep...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06027.x

    authors: Shorvon SD

    更新日期:1996-01-01 00:00:00

  • Anticonvulsant profile of valrocemide (TV1901): a new antiepileptic drug.

    abstract:PURPOSE:We sought to investigate the anticonvulsant activity of the new antiepileptic drug (AED), valrocemide or TV1901 (VGD) in various animal (rodent) models of human epilepsy to determine its anticonvulsant profile and safety margin. METHODS:VGD was administered intraperitoneally to CF no. 1 mice and orally or intr...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.042007831.x

    authors: Isoherranen N,Woodhead JH,White HS,Bialer M

    更新日期:2001-07-01 00:00:00

  • Acute cerebral microbleeds in refractory status epilepticus.

    abstract::Cerebral microbleeds (CMBs) are commonly found in patients with stroke and cerebral amyloid angiopathy. However, there have been no reports of CMBs or their acute appearance in patients with status epilepticus. Herein we describe two patients with refractory status epilepticus of uncertain origin. Both patients were p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12113

    authors: Jeon SB,Parikh G,Choi HA,Lee K,Lee JH,Schmidt JM,Badjatia N,Mayer SA,Claassen J

    更新日期:2013-05-01 00:00:00

  • Does adherence to epilepsy quality measures correlate with reduced epilepsy-related adverse hospitalizations? A retrospective experience.

    abstract::In 2011, the American Academy of Neurology (AAN) established eight epilepsy quality measures (EQMs) for chronic epilepsy treatment to address deficits in quality of care. This study assesses the relationship between adherence to these EQMs and epilepsy-related adverse hospitalizations (ERAHs). A retrospective chart re...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12965

    authors: Ladner TR,Morgan CD,Pomerantz DJ,Kennedy VE,Azar N,Haas K,Lagrange A,Gallagher M,Singh P,Abou-Khalil BW,Arain AM

    更新日期:2015-05-01 00:00:00

  • Functional plasticity after left anterior temporal lobectomy: reconstitution and compensation of verbal memory functions.

    abstract:PURPOSE:This study investigated the functional plasticity of the brain to reconstitute and compensate for verbal memory functions after epilepsy surgery of left temporocortical and temporomesial structures. We hypothesized that memory outcome would be best when surgery is performed within the period of cerebral plastic...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01392.x

    authors: Helmstaedter C,Elger CE

    更新日期:1998-04-01 00:00:00

  • Visually self-induced seizures sensitive to round objects.

    abstract:PURPOSE:To describe a previously unreported type of self-induced pattern-sensitive seizures in a child. METHODS:Evaluation of clinical and EEG features. RESULTS:An 18-month-old boy was initially seen with series of short focal tonic seizures self-induced by gazing intermittently at round objects. Self-induction of th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.54004.x

    authors: Brockmann K,Huppke P,Karenfort M,Gärtner J,Höger C

    更新日期:2005-05-01 00:00:00

  • Exacerbation of partial seizures and onset of nonepileptic myoclonus with carbamazepine.

    abstract::A child had two to three generalized tonic-clonic (GTC) seizures per week unresponsive to phenobarbital (PB) and valproate (VPA). Interictal EEG demonstrated left occipital spikes. When carbamazepine (CBZ) therapy was started, he developed very frequent (4-6/day) complex partial seizures (CPS) characterized on ictal E...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb05255.x

    authors: Dhuna A,Pascual-Leone A,Talwar D

    更新日期:1991-03-01 00:00:00

  • Development of an epilepsy-specific risk adjustment comorbidity index.

    abstract:PURPOSE:To develop an epilepsy-specific comorbidity risk adjustment index for mortality outcomes research. METHODS:Data were extracted from five linked administrative databases in Calgary, Canada from April 1, 1996 to March 31, 2004. Epilepsy patients were defined using a validated ICD-9-CM- and ICD-10-CA-based case d...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03292.x

    authors: St Germaine-Smith C,Liu M,Quan H,Wiebe S,Jette N

    更新日期:2011-12-01 00:00:00

  • Long-term add-on pregabalin treatment in patients with partial-onset epilepsy: pooled analysis of open-label clinical trials.

    abstract:PURPOSE:To evaluate the safety, tolerability, and efficacy of long-term pregabalin as add-on therapy for patients with poorly controlled partial seizures. METHODS:Analysis of data from six long-term clinical trials involving 2,061 patients receiving open-label pregabalin 75-600 mg/day adjunctive therapy for partial on...

    journal_title:Epilepsia

    pub_type: 杂志文章,meta分析

    doi:10.1111/j.1528-1167.2010.02532.x

    authors: Uthman BM,Bazil CW,Beydoun A,Schulze-Bonhage A,Benabou R,Whalen E,Emir B,Griesing T,Leon T

    更新日期:2010-06-01 00:00:00

  • NBQX or topiramate treatment after perinatal hypoxia-induced seizures prevents later increases in seizure-induced neuronal injury.

    abstract:PURPOSE:To evaluate the efficacy of NBQX (2,3-dihydroxy-6-nitro-7-sulfamoylbenzo(f) quinoxaline-2,3-dione) and topiramate (TPM) given after hypoxia-induced seizures in preventing the delayed effect of hypoxia on subsequent susceptibility to seizures and neuronal injury. METHODS:We used "two-hit" rodent seizure model t...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.69103.x

    authors: Koh S,Tibayan FD,Simpson JN,Jensen FE

    更新日期:2004-06-01 00:00:00

  • Nonelective hospital admissions, discharge disposition, and health services utilization in epilepsy patients: A population-based study.

    abstract:OBJECTIVE:Identifying adverse outcomes and examining trends and causes of nonelective admissions among persons with epilepsy would be beneficial to optimize patient care and reduce health services utilization. We examined the association of epilepsy with discharge status, in-hospital mortality, length-of-stay, and char...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16642

    authors: Kwon CS,Wong B,Agarwal P,Lin JY,Mazumdar M,Dhamoon M,Jetté N

    更新日期:2020-09-01 00:00:00

  • Proton spectroscopic imaging shows abnormalities in glial and neuronal cell pools in frontal lobe epilepsy.

    abstract:PURPOSE:Proton magnetic resonance spectroscopic imaging (1H MRSI) can lateralize the epileptogenic frontal lobe by detecting metabolic ratio abnormalities in frontal lobe epilepsy (FLE). We used 1H MRS to lateralize and localize the epileptogenic focus, and we also sought to characterize further the metabolic abnormali...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.15301.x

    authors: Lundbom N,Gaily E,Vuori K,Paetau R,Liukkonen E,Rajapakse JC,Valanne L,Häkkinen AM,Granström ML

    更新日期:2001-12-01 00:00:00

  • Predictors of focal to bilateral tonic-clonic seizures during long-term video-EEG monitoring.

    abstract:OBJECTIVE:To determine predictors of focal to bilateral tonic-clonic seizures (FBTCS) during video-electroencephalography (EEG) monitoring (VEM). METHODS:All adult patients undergoing presurgical VEM from 2014 to 2015 in the department of epileptology were eligible (N = 229). Those with refractory focal epilepsy and e...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16454

    authors: Pensel MC,Schnuerch M,Elger CE,Surges R

    更新日期:2020-03-01 00:00:00

  • Tonic phase of a generalized convulsive seizure is an independent predictor of postictal generalized EEG suppression.

    abstract:PURPOSE:To determine the incidence, duration, risk factors for, and clinical correlates of postictal generalized electroencephalography (EEG) suppression (PGES), and to further delineate the significance of PGES in the pathogenesis of sudden unexpected death in epilepsy (SUDEP). METHODS:We retrospectively reviewed the...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12094

    authors: Tao JX,Yung I,Lee A,Rose S,Jacobsen J,Ebersole JS

    更新日期:2013-05-01 00:00:00

  • 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

  • Morbidity in patients with epilepsy: type and complications: a European cohort study.

    abstract:PURPOSE:To investigate the risk of illnesses in a cohort of patients with epilepsy and in matched nonepilepsy controls, by type and complications. METHODS:A total of 951 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in e...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.0013-9580.2004.33803.x

    authors: van den Broek M,Beghi E,RESt-1 Group.

    更新日期:2004-01-01 00:00:00

  • Brain diffusion after single seizures.

    abstract:PURPOSE:Diffusion-weighted magnetic resonance imaging (DWI) after focal status epilepticus has demonstrated focal alterations of the apparent diffusion coefficient (ADC) in the epileptogenic zone. We hypothesized that localized dynamic alterations of brain diffusion during the immediate postictal state will be detectab...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.07802.x

    authors: Hufnagel A,Weber J,Marks S,Ludwig T,De Greiff A,Leonhardt G,Widmann G,Stolke D,Forsting M

    更新日期:2003-01-01 00:00:00

  • MRI-negative temporal lobe epilepsy-What do we know?

    abstract::Temporal lobe epilepsy (TLE) is the most common focal epilepsy in adults. TLE has a high chance of becoming medically refractory, and as such, is frequently considered for further evaluation and surgical intervention. Up to 30% of TLE cases, however, can have normal ("nonlesional" or negative) magnetic resonance imagi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.13699

    authors: Muhlhofer W,Tan YL,Mueller SG,Knowlton R

    更新日期:2017-05-01 00:00:00

  • Autosomal dominant early childhood seizures associated with chondrocalcinosis and a mutation in the ANKH Gene.

    abstract::We describe the pattern of early childhood seizures within a family with autosomal dominant chondrocalcinosis (CCAL, which causes adult-onset arthritis). All affected family members with CCAL experienced seizures in early childhood, usually, but not always, associated with fever. Similarities exist to the syndrome of ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.19504.x

    authors: McKee S,Pendleton A,Dixey J,Doherty M,Hughes A

    更新日期:2004-10-01 00:00:00

  • Gabapentin as add-on therapy in children with refractory partial seizures: a 12-week, multicentre, double-blind, placebo-controlled study. Gabapentin Paediatric Study Group.

    abstract:PURPOSE:To evaluate the efficacy and safety of gabapentin (Neurontin; GBP) as add-on therapy for refractory partial seizures in paediatric patients aged 3-12 years. METHODS:After a 6-week baseline period, 247 patients (54 centres) entered a 12-week double-blind phase and were randomized to receive either GBP (t.i.d., ...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1157.1999.tb00833.x

    authors: Appleton R,Fichtner K,LaMoreaux L,Alexander J,Halsall G,Murray G,Garofalo E

    更新日期:1999-08-01 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

  • Impaired function of GABA(B) receptors in tissues from pharmacoresistant epilepsy patients.

    abstract:PURPOSE:Effects of pre- and postsynaptic γ-aminobutyric acid B (GABA(B)) receptor activation were characterized in human tissue from epilepsy surgery. METHODS:Slices of human cortical tissue were investigated in a submerged-type chamber with intracellular recordings in layers II/III. Parallel experiments were performe...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02094.x

    authors: Teichgräber LA,Lehmann TN,Meencke HJ,Weiss T,Nitsch R,Deisz RA

    更新日期:2009-07-01 00:00:00

  • Incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935-1984.

    abstract::The incidence of epilepsy and of all unprovoked seizures was determined for residents of Rochester, Minnesota U.S.A. from 1935 through 1984. Age-adjusted incidence of epilepsy was 44 per 100,000 person-years. Incidence in males was significantly higher than in females and was high in the first year of life but highest...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02586.x

    authors: Hauser WA,Annegers JF,Kurland LT

    更新日期:1993-05-01 00:00:00

  • Serum sex hormones are altered in patients with chronic temporal lobe epilepsy receiving anticonvulsant medication.

    abstract:PURPOSE:To evaluate the changes in serum sex hormones of gonadal or adrenal origin, the gonadotropic hormones, and sex hormone-binding globulin (SHBG) in men and women with chronic temporal lobe epilepsy (TLE), who are undergoing monotherapy with carbamazepine or receiving carbamazepine in combination with other antico...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01307.x

    authors: Stoffel-Wagner B,Bauer J,Flügel D,Brennemann W,Klingmüller D,Elger CE

    更新日期:1998-11-01 00:00:00

  • Clinical utility of the Boston Naming Test in predicting ultimate side of surgery in patients with medically intractable temporal lobe epilepsy: A double cross-validation study.

    abstract::The Boston Naming Test (BNT) is often used in the evaluation of surgical epilepsy patients to assess left temporal lobe function. In 2005, Busch et al. demonstrated the diagnostic utility of the BNT in predicting ultimate side of surgery in patients with temporal lobe epilepsy. BNT raw score significantly predicted ul...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01865.x

    authors: Busch RM,Frazier TW,Iampietro MC,Chapin JS,Kubu CS

    更新日期:2009-05-01 00:00:00

  • A case of extended spectrum GEFS+.

    abstract::A 10-year-old boy developed febrile convulsions at age 2 years, and multiple types of nonfebrile generalized seizures over the ensuing months and years. Gestation, birth, and early development were normal, as were initial EEG and brain imaging studies. By age 5 years, he had developed behavioral difficulties, and the ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.00357.x

    authors: Grant AC,Vazquez B

    更新日期:2005-01-01 00:00:00

  • A cellular mechanism for dendritic spine loss in the pilocarpine model of status epilepticus.

    abstract:PURPOSE:Previous studies have documented a synaptic translocation of calcineurin (CaN) and increased CaN activity following status epilepticus (SE); however, the cellular effect of these changes in CaN in the pathology of SE remains to be elucidated. This study examined a CaN-dependent modification of the dendritic cyt...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01616.x

    authors: Kurz JE,Moore BJ,Henderson SC,Campbell JN,Churn SB

    更新日期:2008-10-01 00:00:00