The Effects of Slow Withdrawal of Antiepileptic Drugs on Seizure Clusters and Status Epilepticus: Results of Long-Term Video-EEG Monitoring

被引:0
作者
Barcin, Ebru Nur [1 ]
Gusnal, Gnseli Gul [2 ]
Aktekin, Berrin [3 ]
机构
[1] Akdeniz Univ, Tip Fak, Norol Anabilim Dali, Antalya, Turkey
[2] Antalya Ataturk Devlet Hastanesi, Norol Klin, Antalya, Turkey
[3] Yeditepe Univ, Tip Fak, Norol Anabilim Dali, Istanbul, Turkey
来源
EPILEPSI | 2013年 / 19卷 / 02期
关键词
Antiepileptic drugs; drug resistant epilepsy; seizure clustering; status epilepticus; video-EEG monitoring;
D O I
10.5505/epilepsi.2013.44154
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: In this retrospective study, frequency of seizure clustering and occurrence of status epilepticus were investigated in patients with drug resistant focal epilepsy who were admitted in long term video-EEG monitoring unit (VEM) for presurgical evaluation. Methods: The VEM records of 49 patients (26 female, 23 male; mean age 26.35 +/- 10.2 years) between April 2004-April 2008 were reviewed. Results: Although there was no status epilepticus occured, seizure clustering was observed in 21 (% 42.9) patients during VEM. Conclusion: Seizure clustering was common during presurgical VEM. The risk of seizure clustering might be reduced with a slow antiepileptic drugs tapering protocol and to avoid changing the presently used benzodiazepine dosage.
引用
收藏
页码:53 / 57
页数:5
相关论文
共 45 条
[21]   The first-hour-of-the-day sleep EEG reliably identifies interictal epileptiform discharges during long-term video-EEG monitoring [J].
Liu, Xi ;
Issa, Naoum P. ;
Rose, Sandra ;
Wu, Shasha ;
Sun, Taixin ;
Towle, Leo V. ;
Warnke, Peter C. ;
Tao, James X. .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2018, 63 :48-51
[22]   Withdrawal of antiepileptic drugs in patients with low grade and anaplastic glioma after long-term seizure freedom: a prospective observational study [J].
Kerkhof, M. ;
Koekkoek, J. A. F. ;
Vos, M. J. ;
van den Bent, M. J. ;
Taal, W. ;
Postma, T. J. ;
Bromberg, J. E. C. ;
Kouwenhoven, M. C. M. ;
Dirven, L. ;
Reijneveld, J. C. ;
Taphoorn, M. J. B. .
JOURNAL OF NEURO-ONCOLOGY, 2019, 142 (03) :463-470
[23]   Withdrawal of antiepileptic drugs in patients with low grade and anaplastic glioma after long-term seizure freedom: a prospective observational study [J].
M. Kerkhof ;
J. A. F. Koekkoek ;
M. J. Vos ;
M. J. van den Bent ;
W. Taal ;
T. J. Postma ;
J. E. C. Bromberg ;
M. C. M. Kouwenhoven ;
L. Dirven ;
J. C. Reijneveld ;
M. J. B. Taphoorn .
Journal of Neuro-Oncology, 2019, 142 :463-470
[24]   Risk of seizure clusters and status epilepticus following rapid and ultra-rapid medication discontinuation during intracranial EEG monitoring [J].
Malgireddy, Kalyan ;
Gupta, Navnika ;
Baang, Hae Young ;
Samson, Kaeli K. ;
Madhavan, Deepak ;
Puccioni, Mark ;
Taraschenko, Olga .
EPILEPSY RESEARCH, 2021, 177
[25]   Does withdrawal of different antiepileptic drugs have different effects on seizure recurrence? Further results from the MRC Antiepileptic Drug Withdrawal Study [J].
Chadwick, D .
BRAIN, 1999, 122 :441-448
[26]   Status epilepticus induction has prolonged effects on the efficacy of antiepileptic drugs in the 6-Hz seizure model [J].
Leclercq, Karine ;
Kaminski, Rafal M. .
EPILEPSY & BEHAVIOR, 2015, 49 :55-60
[27]   The tendency to have psychogenic non-epileptic attacks out of camera view during long-term video-EEG monitoring [J].
Uluc, K ;
Albakir, M ;
Saygi, S .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2002, 11 (06) :384-385
[28]   Impact of antiseizure medication with a very long half-life on long term video-EEG monitoring in focal epilepsy [J].
Hampel, Kevin G. ;
Morata-Martinez, Carlos ;
Garces-Sanchez, Mercedes ;
Villanueva, Vicente .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2024, 115 :100-108
[29]   Paroxysmal nonepileptic events in pediatric patients confirmed by long-term video-EEG monitoring - Single tertiary center review of 143 patients [J].
Kim, Seung Hyo ;
Kim, Hunmin ;
Lim, Byung Chan ;
Chae, Jong-Hee ;
Kim, Ki Joong ;
Hwang, Yong Seung ;
Hwang, Hee .
EPILEPSY & BEHAVIOR, 2012, 24 (03) :336-340
[30]   Clinical and ictal characteristics of infantile seizures: EEG correlation via long-term video EEG monitoring [J].
Yu, Hee Joon ;
Lee, Cha Gon ;
Nam, Sook Hyun ;
Lee, Jeehun ;
Lee, Munhyang .
BRAIN & DEVELOPMENT, 2013, 35 (08) :771-777