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Treatment of malignant migrating partial epilepsy of infancy with rufinamide: report of five cases
Martina Vendrame1, Annapurna Poduri, Tobias Loddenkemper
1Epilepsy and Clinical Neurophysiology, Children's Hospital Boston, Boston, MA 02115, USA.
Abstract:
The syndrome of malignant migrating partial seizures of infancy (MMPEI) is characterized by early onset of multiple seizures types, highly pharmaco-resistant seizures, and overall poor prognosis. In this study, we investigated retrospectively the efficacy of rufinamide (RUF) in five infants with MMPEI, by examining seizure type and frequency, EEG features and antiepileptic drug use. The data demonstrate that two of the five patients showed good efficacy and tolerability for RUF with a > 50% reduction in seizure frequency. The use of RUF for the treatment of MMPEI may therefore provide some hope for such infants and should be further validated. [Published with video sequences].
Insights
Rufinamide (RUF) shows promise for treating malignant migrating partial seizures of infancy (MMPEI). Two infants experienced over 50% seizure reduction, offering hope for this rare, severe epilepsy syndrome.
Area of Science:
- Pediatric Neurology
- Epileptology
- Clinical Pharmacology
Background:
- Malignant migrating partial seizures of infancy (MMPEI) is a severe epilepsy syndrome with early onset, multiple seizure types, and poor prognosis.
- Current treatment options for MMPEI are limited, with high rates of drug resistance.
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