[Levetiracetam for treatment of status epilepticus - an update]
Johannes Rösche1, Maria Dudek2, Anna Teleki2
1Klinikum Kassel GmbH, Klinik für Neurologie; Universität Rostock, Klinik und Poliklinik für Neurologie.
Abstract:
Since 2004 several reports on the treatment of status epilepticus with levetiracetam have been published. In this review, the results of a PubMed-based search of publications December 12, 2011 - July 6, 2018 are summarized and compared to those of earlier publications. In total, 28 treatment episodes in case reports, each on one or two cases of treatment episodes, and 412 treatment episodes in case series and prospective studies were analyzed. Case series and prospective studies reported an average success rate for termination of status probably of 55,0 %-59,4 %. Since preclinical data suggest a delayed effect of levetiracetam, its use in the treatment of generalized convulsive status epilepticus appears still questionable. A loading dose of 30 mg / kg seems to be reasonable.
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