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Published on: May 16, 2019
Levetiracetam in absence epilepsy
Alberto Verrotti1, Caterina Cerminara, Sergio Domizio
1Department of Paediatrics, University of Chieti, Chieti, Italy.
Levetiracetam monotherapy shows promise for treating absence epilepsy in children and adolescents. Many young patients achieved seizure freedom or significant seizure reduction, indicating good tolerability and efficacy.
Area of Science:
- Neurology
- Pediatric Epilepsy
Background:
- Absence epilepsy is a common epilepsy syndrome in children and adolescents.
- Effective and well-tolerated treatment options are crucial for managing this condition.
Purpose of the Study:
- To evaluate the efficacy, tolerability, and safety of levetiracetam as monotherapy for absence epilepsy in pediatric patients.
- To assess seizure control and treatment outcomes over a 12-month period.
Main Methods:
- A prospective study involving 21 children and adolescents with typical absence seizures.
- Patients were treated with levetiracetam monotherapy and evaluated at 6 and 12 months.
- Efficacy was measured by seizure frequency reduction and seizure freedom.
Main Results:
- At 6 months, 11 out of 21 patients were seizure-free, and one experienced a >50% reduction in seizures.
- At 12 months, 10 patients achieved complete seizure freedom, and two showed seizure freedom with EEG anomalies.
- Two patients with no initial improvement demonstrated decreased seizures by the 12-month follow-up.
Conclusions:
- Monotherapy with levetiracetam appears to be effective and well-tolerated in pediatric patients with childhood absence epilepsy and juvenile absence epilepsy.
- Further large-scale, long-term, double-blind studies are warranted to confirm these promising findings.
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