评估患者抗药物诱导的认知效应的时间变化
Ömer Karadaş1, Javid Shafiyev2, Akçay Övünç Karadaş3
1Department of Neurology, Gulhane Faculty of Medicine, Health Sciences University, Etlik, Orgeneral Dr. Tevfik Sağlam Cd No:1, 06010 Kecioren, Ankara, Turkey.
Epilepsy & behavior : E&B
|December 12, 2024
概括
某些抗发作药物 (ASM) 的认知副作用,如卡巴马西平,酸和胺,在六个月内是可逆的. 托皮拉在患者中表现出一些改善,但没有完全康复.
科学领域:
- 神经科学是一个神经科学.
- 临床神经学 临床神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗发作药物 (ASM) 对管理至关重要.
- 认知副作用是一些ASM的已知问题.
- 关于这些认知障碍的长期可逆性的数据有限.
研究的目的:
- 评估ASM引起的认知障碍的可逆性.
- 用事件相关潜力 (ERP) 和蒙特利尔认知评估 (MoCA) 测试来评估认知功能的变化.
- 调查潜在的耐受性发展到ASM相关的认知副作用.
主要方法:
- 前性,单中心研究 (2022年7月 - 2023年8月).
- 招募了254名患者 (18-50岁) 开始新的ASM单疗法.
- 在基线,2个月和6个月通过MoCA和ERP评估认知功能.
主要成果:
- 卡巴马泽平 (CBZ),尼沙胺 (ZNS) 和酸 (VPA) 在2个月后显示出显著的认知障碍,在6个月后显著改善.
- 托皮拉 (TPM) 在6个月后出现改善,但没有完全恢复.
- 列维西拉塞坦,拉莫特里金,奥克斯卡巴泽平和拉科萨米德并没有导致统计学上显著的认知障碍.
结论:
- 对于CBZ,VPA和ZNS的有害认知影响是可逆的.
- 对于全面的认知效应逆转,TPM可能需要更长的治疗时间.
- 某些ASM可能具有更有利的认知副作用概况.
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