The first-line use of vigabatrin to achieve complete control of infantile spasms

被引:8
作者
Covanis, A [1 ]
Theodorou, V [1 ]
Lada, C [1 ]
Skiadas, K [1 ]
Loli, N [1 ]
机构
[1] Aghia Sophia Childrens Hosp, Dept Neurol, Athens 11527, Greece
来源
JOURNAL OF EPILEPSY | 1998年 / 11卷 / 05期
关键词
infantile spasms; west; syndrome; monotherapy; vigabatrin; efficacy; first-line therapy;
D O I
10.1016/S0896-6974(98)00030-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Vigabatrin was given as first-line therapy in 29 children with infantile spasms (IS). Vigabatrin monotherapy achieved complete control of spasms without subsequent relapse in 45% of patients. In all other patients, response was partial or relapse occurred, and in these patients add-on therapy with tetra-cosactrin and/or clonazepam achieved a complete response. Side-effects with vigabatrin were mild and transient, and occurred in only four patients. The complete responses observed with vigabatrin occurred a short time after initiating treatment. These data further support the high efficacy of vigabatrin as first-line monotherapy for the treatment of IS. (C) 1998 by Elsevier Science Inc. All rights reserved.
引用
收藏
页码:265 / 269
页数:5
相关论文
共 11 条
[1]   Vigabatrin as initial therapy for infantile spasms: A European retrospective survey [J].
Aicardi, J ;
Hauser, E ;
Steinbock, H ;
Szyper, M ;
Holsteen, V ;
Ostergaard, J ;
Pedersen, SA ;
Taudorf, K ;
BarthezCarpentier, MA ;
BadinandHubert, N ;
Berquin, P ;
Boulloche, J ;
Bourgeois, M ;
Carriere, JP ;
Chabrol, B ;
Chiron, C ;
Claris, O ;
Echenne, B ;
GauthierMorel, D ;
Livet, MO ;
Lopez, N ;
Mancini, J ;
Netter, JC ;
Quillerou, D ;
Richelme, CH ;
Rousselle, C ;
DeStMartin, A ;
DeSwarte, M ;
Auerswald, G ;
Brandl, U ;
Kurlemann, G ;
Siemes, H ;
Spohr, HL ;
Aarts, WFM ;
Begeer, JH ;
Heersma, DJ ;
Laan, LAEM ;
Peters, ACB ;
Cavazzutti, GB ;
Curatolo, P ;
Fois, A ;
Franzoni, E ;
Gobbi, G ;
Incorpora, G ;
Vigevano, F ;
Campistol, J ;
Campos, J ;
Casas, C ;
Herranz, JL ;
Nieto, M .
EPILEPSIA, 1996, 37 (07) :638-642
[2]   VIGABATRIN IN INFANTILE SPASMS - WHY ADD ON [J].
APPLETON, RE ;
MONTIELVIESCA, F .
LANCET, 1993, 341 (8850) :962-962
[3]  
BEAUMONT D, 1990, LANCET, V335, P363
[4]  
BUTI D, 1995, EPILEPSIA, V36, pS102
[5]  
CHIRON C, 1991, J CHILD NEUROL, V6, pS52
[6]   Randomized trial comparing vigabatrin and hydrocortisone in infantile spasms due to tuberous sclerosis [J].
Chiron, C ;
Dumas, C ;
Jambaque, I ;
Mumford, J ;
Dulac, O .
EPILEPSY RESEARCH, 1997, 26 (02) :389-395
[7]  
JEAVONS PM, 1983, EPILEPTIC SYNDROMES, P42
[8]  
JEAVONS PM, 1964, CLIN DEV MED, V15
[9]   VIGABATRIN IN NEWLY-DIAGNOSED INFANTILE SPASMS [J].
SCHMITT, B ;
WOHLRAB, G ;
BOLTSHAUSER, E .
NEUROPEDIATRICS, 1994, 25 (01) :54-54
[10]  
Vigevano F, 1997, EPILEPSIA, V38, P1270