Serum and urine boron and selenium levels in children with resistant epilepsy

Huseyin Per1, Mehmet Canpolat, Ugur Sahin

  • 1Department of Pediatric Neurology, Erciyes University Medical Faculty, Kayseri, Turkey. huseyinper@yahoo.com

Saudi Medical Journal
|September 12, 2012
PubMed

Insights

Children with resistant epilepsy may benefit from selenium supplementation. This study found altered serum and urine selenium levels, and urine boron levels in these patients, suggesting selenium

Area of Science:

  • Pediatric Neurology
  • Clinical Chemistry
  • Nutritional Science

Background:

  • Resistant epilepsy affects a significant portion of pediatric patients.
  • Nutritional deficiencies or imbalances can influence neurological conditions.
  • Selenium and boron are trace elements with potential roles in cellular function.

Purpose of the Study:

  • To investigate the association between serum and urine selenium and boron levels and resistant epilepsy in children.
  • To determine if these trace element levels differ in children with resistant epilepsy compared to controls.

Main Methods:

  • A case-control study involving 53 children diagnosed with resistant epilepsy.
  • Serum and urine samples were analyzed for selenium and boron concentrations.
  • Statistical analysis included Student's t-test and Chi-square test to compare groups.

Main Results:

  • Statistically significant differences were observed in serum selenium, urine selenium, and urine boron levels in children with resistant epilepsy compared to controls (p<0.05).
  • No significant difference was found in serum boron levels between the groups (p>0.05).

Conclusions:

  • Selenium supplementation may be beneficial for children with resistant epilepsy.
  • Boron does not appear to have an etiological role in resistant epilepsy based on this study.
  • Further research is warranted to elucidate the precise role of selenium in epilepsy management.
Abstract

Related Concept Videos

Serum Studies: Renal Function Tests01:24

Serum Studies: Renal Function Tests

Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
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...