We describe a favourably response to LEV in two Juvenile Myoclonic Epilepsy (JME)-patients who were resistant to first line therapy (VPA, LTG or AZM). In both patients, VPA (1.5-1.7g/day) failed to control seizures and induced weight gain in one. Shifting VPA to LTG (400 mg/day) provoked a paradoxical increase of myoclonic jerks in both patients. Montherapy with AZM (500 mg/die) was uneffective too. Monotherapy with LEV (2000 mg/die) induced a prompt and durable (24 months) response in both patients. Monotherapy with LEV is effective and well tolerated in JME-patients with resistance or intolerance to conventional AED.

Effectiveness of Levetiracetam in JME-patients with resistance or intolerance to conventional AED

Aguglia U
2004-01-01

Abstract

We describe a favourably response to LEV in two Juvenile Myoclonic Epilepsy (JME)-patients who were resistant to first line therapy (VPA, LTG or AZM). In both patients, VPA (1.5-1.7g/day) failed to control seizures and induced weight gain in one. Shifting VPA to LTG (400 mg/day) provoked a paradoxical increase of myoclonic jerks in both patients. Montherapy with AZM (500 mg/die) was uneffective too. Monotherapy with LEV (2000 mg/die) induced a prompt and durable (24 months) response in both patients. Monotherapy with LEV is effective and well tolerated in JME-patients with resistance or intolerance to conventional AED.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12317/19530
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