Effect of Levetiracetam on Cognitive Function and Clonic Seizure Frequency in Children with Epilepsy
Shihao Zhou1, Qiong Zhan2, Xiaomei Wu2
1Department of Genetic and Eugenics,Changsha Hospital for Maternal and Child Health Care, Changsha, Hunan, 410011, China.
Insights
Levetiracetam effectively treats childhood epilepsy by improving cognitive function and reducing seizure frequency. This epilepsy medication shows significant promise for young patients.
Area of Science:
- Pediatric Neurology
- Clinical Pharmacology
Background:
- Epilepsy affects numerous children worldwide, necessitating effective treatment options.
- Current treatments for childhood epilepsy present challenges, including variable efficacy and side effects.
Purpose of the Study:
- To evaluate the clinical efficacy of levetiracetam compared to conventional valproate therapy in children with epilepsy.
- To assess the impact of levetiracetam on cognitive function and seizure frequency in pediatric epilepsy patients.
Main Methods:
- A randomized controlled trial involving 136 children with epilepsy.
- Patients were assigned to either levetiracetam (experimental group) or valproate (conventional group).
- Outcomes measured included overall effective rate, cognitive function scores, and seizure frequency.
Main Results:
- Levetiracetam demonstrated significantly improved cognitive functions, including attention and executive ability, compared to valproate.
- The frequency of myoclonic and tonic-clonic seizures was significantly reduced with levetiracetam treatment.
- No significant difference was observed in the overall effective rate between the two treatment groups.
Conclusions:
- Levetiracetam is an effective treatment for childhood epilepsy.
- Levetiracetam offers benefits in enhancing cognitive function and reducing seizure frequency in pediatric patients.
- The findings suggest levetiracetam has high potential for clinical application in treating childhood epilepsy.
Objective:
This study aimed to explore the clinical effect of levetiracetam in the treatment of children with epilepsy.
Methods:
136 children with epilepsy were selected from January 2017 to December 2017. According to the random number table method, they were divided into the experimental group and the conventional group, with 68 cases in each group. The conventional group was treated with valproate, while the experimental group was treated with levetiracetam. The effective rate, the cognitive function and the frequency of clonic seizures in the two groups were compared.
Results:
There was no significant difference in the total effective rate between the two groups (P>0.05). There was no significant difference in attention, executive ability, abstract and orientation scores between the two groups before treatment (P>0.05). After treatment, the focus of attention (106.54±6.56), executive ability (105.76±6.77), abstract and directional score (106.65±6.57) were significantly higher than that of the conventional group. The difference in the two groups was statistically significant (P<0.05). After 3 months of treatment, the frequency of myoclonic seizures (9.22±0.95) and the frequency of tonic-clonic seizures (11.68±1.36) were found to be significantly lower than those of the conventional group, and the difference between the two groups was statistically significant (P<0.05).
Conclusion:
Levetiracetam is effective in the treatment of children with epilepsy. It can effectively improve the cognitive function of the patients, reduce the frequency of myoclonic seizures and tonic-clonic seizures, and has a high promotion value.
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