Off-label use of cannabidiol in genetic epileptic and developmental encephalopathies: A case report

被引:1
作者
Mannini, Elisa [1 ]
Misirocchi, Francesco [1 ]
Lazzari, Stefania [1 ]
Balella, Giulia [1 ]
Bottignole, Dario [1 ]
Frapporti, Maddalena [1 ]
Zinno, Lucia [1 ,3 ]
Florindo, Irene [1 ,3 ]
Parrino, Liborio [1 ,2 ,3 ]
Mutti, Carlotta [1 ,2 ,3 ]
机构
[1] Parma Univ Hosp, Dept Gen & Specialized Med, Neurol Unit, Via Gramsci 14, I-43126 Parma, Italy
[2] Parma Univ Hosp, Sleep Disorders Ctr, Dept Med & Surg, Parma, Italy
[3] Univ Parma, Interdept Ctr Sleep Med, Parma, Italy
关键词
Developmental epileptic encephalopathy; Quality of life; Cannabidiol; Epilepsy; Drug; -resistance; LIFE; MEDICATIONS;
D O I
10.1016/j.ebr.2024.100687
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Developmental Epileptic encephalopathies (DEEs) are severe neurological conditions where cognitive functions appear modulated by both seizure and interictal epileptiform activity. Cannabidiol (CBD) has been shown to be highly effective in the treatment of drug-resistant seizures in patients with DEEs. Along with its antiseizure effects, CBD demonstrated clinical beneficial effects in patients' quality of life, sleep and numerous adaptive behaviors. However, based on the available phase III studies, the indications for this treatment have so far been restricted to Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS) and tuberous sclerosis complex (TSC) by regulatory authorities. We present the case of a 30-year-old girl with a rare genetic DEE, experiencing relevant seizure frequency reduction together with striking improvement in sleep quality, mood, behavior, language and motor skills after introducing off-label CBD.
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页数:4
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