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[Effects of clonazepam taken per os by children with rebellious epileptic encephalopathies]

L'Encephale
|January 1, 1977
PubMed

Insights

Clonazepam effectively treats severe childhood epilepsy, showing significant clinical and electrical improvements in 70% of cases. This anticonvulsant medication offers sustained benefits, even in drug-resistant epilepsy cases.

Area of Science:

  • Neurology
  • Pediatric Epilepsy

Background:

  • Evolutive epileptic encephalopathies present severe clinical and electrical manifestations in children.
  • Standard anti-epileptic poly-chemotherapies are often insufficient for these refractory cases.

Purpose of the Study:

  • To evaluate the efficacy of clonazepam as an add-on therapy for children with severe epileptic encephalopathies.
  • To assess the long-term effectiveness and safety of clonazepam in this patient population.

Main Methods:

  • A study involving fourteen children with evolutive epileptic encephalopathies.
  • Administration of clonazepam per-os in progressive doses, alongside existing anti-epileptic treatments.

Main Results:

  • Clonazepam demonstrated significant efficacy, achieving visible amelioration in 70% of the studied children.
  • Sustained clinical and electrical improvements were observed in patients treated for over a year, indicating long-lasting effects.
  • When combined with other benzodiazepines, clonazepam showed a low incidence of side-effects and no cross-resistance in rebellious epilepsy cases.

Conclusions:

  • Clonazepam is an effective adjunctive treatment for severe, drug-resistant childhood epilepsies.
  • The medication provides sustained therapeutic benefits and is well-tolerated, even in combination therapies.

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