Intravenous levetiracetam in the treatment of benzodiazepine refractory status epilepticus

被引:112
作者
Knake, S. [1 ]
Gruener, J. [1 ]
Hattemer, K. [1 ]
Klein, K. M. [1 ]
Bauer, S. [1 ]
Oertel, W. H. [1 ]
Hamer, H. M. [1 ]
Rosenow, F. [1 ]
机构
[1] Univ Marburg, Epilepsy Ctr Marburg, Dept Neurol, D-35033 Marburg, Germany
关键词
D O I
10.1136/jnnp.2007.130260
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In 2006, levetiracetam was approved as the first of the newer anticonvulsive drugs as an intravenous formulation (ivLEV) for patients with epileptic seizures who are unable to take oral medication. We report our experience with the use of ivLEV for the treatment of 18 episodes of benzodiazepine refractory focal status epilepticus (SE) in 16 patients, including four patients with secondary generalised SE. SE was controlled in all patients by the given combination of drugs; application of further antiepileptic medications after ivLEV was necessary in two episodes. No severe side effects occurred. Our data suggest that ivLEV may be an alternative for the treatment of SE in the future, even in patients that did not respond to benzodiazepines. A large prospective, randomised, controlled study is warranted to investigate the efficacy and safety of ivLEV for the treatment of SE.
引用
收藏
页码:588 / 589
页数:2
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