Comparative case-control study of homocysteine, vitamin B12, and folic acid levels in patients with epilepsy

被引:10
作者
Pulido Fontes, L. [1 ,2 ]
Putido Fontes, M. [1 ]
Quesada Jimenez, P. [1 ]
Muruzabat Perez, J. [1 ]
Mendioroz Iriarte, M. [1 ,2 ]
机构
[1] Complejo Hosp Navarra, Serv Neurol, Pamplona, Navarra, Spain
[2] Lab Neuroepigenet Navarrabiomed IdiSNA, Pamplona, Navarra, Spain
来源
NEUROLOGIA | 2017年 / 32卷 / 07期
关键词
Hyperhomocysteinae-mia; Folic acid; Vitamin B-12; Epilepsy; Antiepileptic drugs; Cardiovascular risk; DRUG-RESISTANT EPILEPSY; ANTIEPILEPTIC DRUGS; B-VITAMINS; SERUM-LEVELS; HYPERHOMOCYSTEINEMIA; METABOLISM; SUPPLEMENTATION; GUIDELINES; DISEASES; FOLATE;
D O I
10.1016/j.nrl.2016.02.013
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Increased blood homocysteine levels are a known cardiovascular risk factor. Epileptic patients on long-term treatment with antiepileptic drugs may present higher homocysteine levels and, consequently, a potential increase in cardiovascular risk. Material and methods: We conducted an observational case-control study to compare plasma levels of homocysteine, folic acid, and vitamin B-12. Results: Our study included a total of 88 subjects: 52 patients with epilepsy and 36 controls. Epileptic patients showed higher homocysteine levels (P=.084) and lower levels of folic acid (P<.05). Conclusion: Homocysteine levels should be monitored in epileptic patients on long-term treatment with antiepileptic drugs. We suggest starting specific treatment in patients with high homocysteine levels. (C) 2016 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.
引用
收藏
页码:440 / 445
页数:6
相关论文
共 25 条
[1]   The effect of B-vitamins on hyperhomocysteinemia in patients on antiepileptic drugs [J].
Apeland, T ;
Mansoor, MA ;
Pentieva, K ;
McNulty, H ;
Seljeflot, I ;
Strandjord, RE .
EPILEPSY RESEARCH, 2002, 51 (03) :237-247
[2]   Homocysteine Potentiates Seizures and Cell Loss Induced by Pilocarpine Treatment [J].
Baldelli, Enrica ;
Leo, Giuseppina ;
Andreoli, Nicola ;
Fuxe, Kjell ;
Biagini, Giuseppe ;
Agnati, Luigi F. .
NEUROMOLECULAR MEDICINE, 2010, 12 (03) :248-259
[3]   Antiepileptic drugs, hyperhomocysteinemia and B-vitamins supplementation in patients with epilepsy [J].
Belcastro, Vincenzo ;
Striano, Pasquale .
EPILEPSY RESEARCH, 2012, 102 (1-2) :1-7
[4]   Hyperhomocysteinemia in epileptic patients on new antiepileptic drugs [J].
Belcastro, Vincenzo ;
Striano, Pasquale ;
Gorgone, Gaetano ;
Costa, Cinzia ;
Ciampa, Clotilde ;
Caccamo, Daniela ;
Pisani, Laura R. ;
Oteri, Giancarla ;
Marciani, Maria G. ;
Aguglia, Umberto ;
Striano, Salvatore ;
Lentile, Riccardo ;
Calabresi, Paolo ;
Pisani, Francesco .
EPILEPSIA, 2010, 51 (02) :274-279
[5]   The effect of vitamin B supplementation on homocysteine metabolism and clinical state of patients with chronic epilepsy treated with carbamazepine and valproic acid [J].
Bochynska, Anna ;
Lipczynska-Lojkowska, Wanda ;
Gugala-Iwaniuk, Magdalena ;
Lechowicz, Waldemar ;
Restel, Magdalena ;
Graban, Alla ;
Lipska, Beata ;
Ryglewicz, Danuta .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2012, 21 (04) :276-281
[6]   Homocysteine and risk of ischemic heart disease and stroke -: A meta-analysis [J].
Clarke, R ;
Collins, R ;
Lewington, S ;
Donald, A ;
Alfthan, G ;
Tuomilehto, J ;
Arnesen, E ;
Bonaa, K ;
Blacher, J ;
Boers, GHJ ;
Bostom, A ;
Bots, ML ;
Grobee, DE ;
Brattström, L ;
Breteler, MMB ;
Hofman, A ;
Chambers, JC ;
Kooner, JS ;
Coull, BM ;
Evans, RW ;
Kuller, LH ;
Evers, S ;
Folsom, AR ;
Freyburger, G ;
Parrot, F ;
Genst, J ;
Dalery, K ;
Graham, IM ;
Daly, L ;
Hoogeveen, EK ;
Kostense, PJ ;
Stehouwer, CDA ;
Hopknis, PN ;
Jacques, P ;
Selhub, J ;
Luft, FC ;
Jungers, P ;
Lindgren, A ;
Lolin, YI ;
Loehrer, F ;
Fowler, B ;
Mansoor, MA ;
Malinow, MR ;
Ducimetiere, P ;
Nygard, O ;
Refsum, H ;
Vollset, SE ;
Ueland, PM ;
Omenn, GS ;
Beresford, SAA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :2015-2022
[7]   Hyperhomocysteinemia and treatment with antiepileptic drugs.: Effects of different doses of folic acid [J].
Fernández-Miranda, C ;
de la Peña, P ;
Penas, M ;
Saiz, R ;
Gómez, P ;
de la Cámara, AG .
MEDICINA CLINICA, 2005, 124 (14) :521-524
[8]   METHIONINE METABOLISM IN MAMMALS [J].
FINKELSTEIN, JD .
JOURNAL OF NUTRITIONAL BIOCHEMISTRY, 1990, 1 (05) :228-237
[9]   Feen report on epilepsy in Spain [J].
Garcia-Ramos, R. ;
Garcia Pastor, A. ;
Masjuan, J. ;
Sanchez, C. ;
Gil, A. .
NEUROLOGIA, 2011, 26 (09) :548-555
[10]   Mechanism for reduction of serum folate by antiepileptic drugs during prolonged therapy [J].
Kishi, T ;
Fujita, N ;
Eguchi, T ;
Ueda, K .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1997, 145 (01) :109-112