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Absence seizures in children
1University Hospital of North Durham, Durham, UK.
Insights
This systematic review examines treatments for typical absence seizures in children. It evaluates the effectiveness and safety of medications like ethosuximide and valproate.
Area of Science:
- Pediatric Neurology
- Epileptology
Background:
- Typical absence seizures account for 10% of childhood epilepsy cases.
- These seizures significantly impair children's quality of life.
Purpose of the Study:
- To systematically review the effects of treatments for typical absence seizures in children.
- To assess the efficacy and safety of various antiepileptic drugs.
Main Methods:
- Systematic review of 18 randomized controlled trials (RCTs) and systematic reviews of RCTs.
- Searches conducted in major databases (Medline, Embase, Cochrane Library) up to July 2013.
- Inclusion of safety alerts from regulatory agencies (FDA, EMA, MHRA).
Main Results:
- The review identified and evaluated evidence for several interventions.
- GRADE methodology was used to assess the quality of evidence for each treatment.
Conclusions:
- Information on the effectiveness and safety of clonazepam, ethosuximide, gabapentin, lamotrigine, and valproate is presented.
- This review provides evidence-based insights for managing typical absence seizures in pediatric patients.
Introduction:
About 10% of seizures in children with epilepsy are typical absence seizures. Absence seizures have a significant impact on quality of life.
Methods And Outcomes:
We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for typical absence seizures in children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to July 2013 (Clinical Evidence reviews are updated periodically; please check our website for the most up to date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA), the European Medicines Agency (EMA), and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 18 RCTs or systematic reviews of RCTs that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions:
In this systematic review we present information relating to the effectiveness and safety of the following interventions: clonazepam, ethosuximide, gabapentin, lamotrigine, and valproate.
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