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Efficacy and Tolerability of Lacosamide in the Treatment of Children With Refractory Generalized Epilepsy
Journal article   Peer reviewed

Efficacy and Tolerability of Lacosamide in the Treatment of Children With Refractory Generalized Epilepsy

Chandrabhaga Miskin, Divya S Khurana, Ignacio Valencia, Agustin Legido, Daphne M Hasbani and Karen S Carvalho
Journal of child neurology, v 31(7), pp 925-928
Jun 2016
PMID: 26887412

Abstract

Acetamides - adverse effects Acetamides - therapeutic use Adolescent Anticonvulsants - adverse effects Anticonvulsants - therapeutic use Child Child, Preschool Drug Resistant Epilepsy - drug therapy Drug Resistant Epilepsy - physiopathology Epilepsy, Generalized - drug therapy Epilepsy, Generalized - physiopathology Female Humans Male Retrospective Studies Seizures - drug therapy Seizures - physiopathology Treatment Outcome Young Adult
Lacosamide is FDA-approved in patients 17 years or older with partial-onset epilepsy. We evaluated the efficacy and tolerability of lacosamide in children with refractory generalized epilepsy. We retrospectively reviewed records of 21 children with refractory generalized epilepsy treated with lacosamide in our institution from 2009-2013 divided into 2 subgroups- I, Lennox-Gastaut Syndrome, and II, other generalized epilepsies. Efficacy was defined as seizure freedom or ≥50% seizure reduction. Descriptive data analysis including seizure freedom was compared using c(2) analysis. There were eleven females and ten males with a mean age, of 11.9 years. Five patients became seizure free, nine had ≥50% seizure reduction, and seven had no response. Group I: seven had ≥50% improvement, one did not respond. Group II: five became seizure free, two had ≥50% improvement, five had no response. Lacosamide is effective and well tolerated in children with refractory generalized epilepsy particularly patients with Lennox-Gastaut Syndrome.

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Web of Science research areas
Clinical Neurology
Pediatrics
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