Add-on treatment with pyridoxine and sulthiame in 12 infants with West syndrome: an open clinical study

To investigate the effect of sulthiame (STM) in West syndrome (WS) an open, uncontrolled add-on study was undertaken during initial pyridoxine (PDX) therapy in 12 infants, two with idiopathic and ten with symptomatic WS. All patients were initially treated with PDX (150–300 mg kg −1body weight day−1...

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Veröffentlicht in:Seizure (London, England) England), 2002-09, Vol.11 (6), p.381-383
Hauptverfasser: Debus, Otfried Martin, Köhring, Jessika, Fiedler, Barbara, Franssen, Maike, Kurlemann, Gerhard
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container_issue 6
container_start_page 381
container_title Seizure (London, England)
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creator Debus, Otfried Martin
Köhring, Jessika
Fiedler, Barbara
Franssen, Maike
Kurlemann, Gerhard
description To investigate the effect of sulthiame (STM) in West syndrome (WS) an open, uncontrolled add-on study was undertaken during initial pyridoxine (PDX) therapy in 12 infants, two with idiopathic and ten with symptomatic WS. All patients were initially treated with PDX (150–300 mg kg −1body weight day−1 ). In seven patients (58%) seizures and hypsarrhythmia stopped during the week after introduction of STM (10 mg kg −1body weight day −1). In one the positive effect was temporary. Five of the responders (42%) remained seizure-free and without hypsarrhythmia under STM monotherapy, while one developed complex partial seizures after 25 months. STM was most effective in idiopathic WS (2 /2). During treatment with STM medication no patient suffered side effects attributable to the substance. Further controlled studies are necessary to evaluate the benefit of this potentially effective treatment.
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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects add-on therapy
Anticonvulsants - therapeutic use
Carbamazepine - therapeutic use
Drug Therapy, Combination
Humans
Infant
Male
pyridoxine
Pyridoxine - therapeutic use
Spasms, Infantile - drug therapy
sulthiame
Thiazines - therapeutic use
West syndrome
title Add-on treatment with pyridoxine and sulthiame in 12 infants with West syndrome: an open clinical study
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