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Related Concept Videos

Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein01:20

Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein

Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
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Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
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Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Hepatic Encephalopathy01:29

Hepatic Encephalopathy

DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
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Drug toxicity: Idiosyncratic Reactions

Idiosyncratic drug reactions represent abnormal chemical responses that vary significantly among individuals, ranging from extreme sensitivity to low doses to insensitivity to high doses. These reactions often occur due to the drug's covalent binding with serum proteins, forming a foreign hapten that triggers an immunotoxicological response. The variability in drug reactions has a strong pharmacogenetic foundation, with genetic differences crucial in how individuals metabolize drugs. For...
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Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
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Focal Seizures
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Related Experiment Video

Updated: May 21, 2026

Pentylenetetrazole-Induced Kindling Mouse Model
07:06

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Published on: June 12, 2018

Levetiracetam-induced reversible autistic regression.

Ana Camacho1, José Carlos Espín, Noemí Nuñez

  • 1Section of Pediatric Neurology, Department of Neurology, Hospital Universitario 12 de Octubre, Madrid, Spain. acamachosalas@yahoo.es

Pediatric Neurology
|June 19, 2012
PubMed
Summary

Levetiracetam, an antiepileptic drug, can cause behavioral issues, particularly in children. A case study shows autistic regression reversed upon discontinuing levetiracetam, highlighting potential adverse effects.

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Area of Science:

  • Neurology
  • Pediatrics
  • Pharmacology

Background:

  • Levetiracetam is a widely used antiepileptic medication.
  • While generally well-tolerated, it can precipitate behavioral disturbances, especially in pediatric populations and those with prior psychiatric conditions.

Observation:

  • A 6-year-old girl with cerebral palsy, cognitive deficiency, and focal epilepsy, previously diagnosed with pervasive developmental disorder, experienced severe social and communicative skill deterioration.
  • Following the initiation of levetiracetam, she developed stereotypies and mood lability.

Findings:

  • The patient exhibited autistic regression after starting levetiracetam.
  • Discontinuation of the drug led to a complete resolution of these adverse behavioral effects.

Implications:

  • Levetiracetam may induce significant behavioral adverse effects, including autistic regression, in susceptible individuals.
  • This case underscores the importance of monitoring for unusual behavioral changes in patients, particularly children, treated with levetiracetam.