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Title: Severe myoclonic epilepsy in infancy: towards an optimal treatment
Authors: Ceulemans, B.
Boel, M.
CLAES, Lieve
Dom, L.
Willekens, H.
Thiry, Ph.
Lagae, L.
Issue Date: 2004
Publisher: B C DECKER INC
Source: Journal of child neurology, 19(7). p. 516-521
Abstract: Severe myoclonic epilepsy in infancy, or Dravet syndrome, is one of the catastrophic epilepsy syndromes. In the past, treatment was mainly based on valproate and phenobarbital. Recently, some of the new antiepilepsy drugs, such as topiramate and stiripentol, have been shown to be promising in the treatment of this epilepsy syndrome. The treatment regimen of 12 children with Dravet syndrome and proven mutations in the alpha subunit of the sodium channel SCN1A is reported here. Five patients on the "traditional" treatment regimen are compared with seven children on an "optimal" treatment regimen based on a combination of valproate and topiramate. With respect to the literature and our own experience, we propose guidelines for "optimal" treatment of children with severe myoclonic epilepsy in infancy. This includes prevention of hyperthermia, rigorous treatment of fever, avoiding stressful situations, maintenance treatment based on a combination of only two antiepilepsy drugs (ie, valproate and topiramate), and a strict acute seizure treatment based on benzodiazepines. To prevent long-lasting periods of status epilepticus, this acute seizure treatment must be taught to parents and caregivers.
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ISSN: 0883-0738
e-ISSN: 1708-8283
DOI: 10.1177/08830738040190070701
ISI #: 000228707300007
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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