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Carbamazepine was associated with increased interictal activity, while valproate–lamotrigine was associated with reduced activity in the IGEs.
doi.org/10.1002/epi....

#epilepsy #ILAE #epilepsia #ambulatory #EEG #antiseizuremedication #IGE #interictalepileptiformdischarges #vEEG

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URE patients had a median of six failed treatment strategies, including surgery or neurostimulation.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #antiseizuremedication #drugresistantepilepsy #neurostimulation #resectivebrainsurgery #ultrarefractoryepilepsy

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PIPs for antiseizure medications have mainly focused on focal seizures so far. Limited compliance and incomplete trials represent ongoing challenges in pediatric antiseizure drug development.
doi.org/10.1111/epi....

#epilepsy #ILAE #epilepsia #antiseizuremedication #drugdevelopment #seizure

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This is the first placebo-controlled cenobamate efficacy study to use the globally approved cenobamate titration schedule.
doi.org/10.1111/epi....

#epilepsy #ILAE #epilepsia #antiseizuremedication #efficacy #refractory #titration #cenobamate

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This post hoc analysis evaluates perampanel as first adjunctive therapy for epilepsy across different clinical and regional settings.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #antiseizuremedication #firstaddontherapy #focalepilepsy #focalonsetseizures #tonicclonicseizures #perampanel

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We compared the early adjuvant treatment outcomes of IV lacosamide and levetiracetam for status epilepticus after benzodiazepine use.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #antiseizuremedication #diagnosisprocedurecombination #overlapweighting #propensityscore #seizure

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Epilepsy in dentatorubral–pallidoluysian atrophy: A systematic review and meta‐analysis Summary of key clinical and electrophysiological characteristics of DRPLA-related epilepsy from a systematic review and meta-analysis of 1,191 patients. DRPLA patients with epilepsy showed earlier di...

DRPLA patients with epilepsy have earlier onset and longer CAG repeats than those without epilepsy.
onlinelibrary.wiley.com/doi/10.1111/...

#epilepsy #ILAE #epilepsia #antiseizuremedication #dentatorubralpallidoluysianatrophy #progressivemyoclonicepilepsy #trinucleotiderepeatdisorders

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A randomized, double‐blind, placebo‐controlled, multicenter study to evaluate the efficacy and safety of adjunctive cenobamate in Asian patients with focal seizures A randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy and safety of adjunctive cenobamate in Asian patients with focal seizures.

We evaluated the efficacy and safety of adjunctive cenobamate (100, 200, and 400 mg/day) in Asian patients with uncontrolled focal seizures.
doi.org/10.1111/epi....
#epilepsy #ILAE #epilepsia #antiseizuremedication #focalepilepsy #phase3 #refractory

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AI models integrating magnetic resonance imaging, clinical, and antiseizure medication (ASM) data predicted seizure freedom in newly diagnosed epilepsy.
doi.org/10.1111/epi....

#epilepsy #ILAE #epilepsia #antiseizuremedication #artificialintelligence #brainMRI #epilepsyimaging #machinelearning #AI

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We present the largest series reporting on the off-label use of Cenobamate (CNB) in 16 adults with drug-resistant idiopathic generalized epilepsy, including 12 with JME.
onlinelibrary.wiley.com/doi/10.1002/...

#epilepsy #ilae #epilepsiaopen #antiseizuremedication #Cenobamate #healthcareutilization

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A cost-effectiveness analysis of initial BRV versus LEV therapy was conducted across the US, Australia, and Japan.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #antiseizuremedication #healthcareeconomics #levetiracetam #riskstratification

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A two-year terminal seizure freedom was more commonly achieved in patients with GTCA and GGE-NOS, compared to those with JME.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #adultonset #antiseizuremedication #geneticgeneralizedepilepsy #seizureoutcome #terminalremission

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BRV as an add-on therapy significantly reduces seizure frequency in patients with focal onset seizures.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #antiseizuremedication #brivaracetam #combination #drugtherapy #focalonsetseizures #seizures

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We report the impact of climatic variables on hyponatremia-related hospitalizations in a well-phenotyped cohort of people with focal #epilepsy exposed to #carbamazepine or its derivatives.
doi.org/10.1111/epi....

#epilepsia #ILAE #antiseizuremedication #climatechange #focalepilepsy #hyponatremia

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CBD treatment resulted in a comparable reduction in focal seizure frequency of 51%–87% in the TSC group and 46–75% in the non-TSC group.
doi.org/10.1111/epi....

#epilepsy #ILAE #epilepsia #antiseizuremedication #cannabidiol #corticaldysplasia #focalepilepsies #focalseizures

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Clobazam, stiripentol, and fenfluramine reduce seizures effectively; valproic acid has no significant effect.
doi.org/10.1002/epi4...

#epilepsy #epilepsiaopen #ILAE #antiseizuremedication #DEE #Dravetsyndrome #Drosophilamelanogaster

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We used prescription data to evaluate the retention of newer antiseizure medications (ASMs) in routine epilepsy care across Sweden, focusing on early use.
doi.org/10.1111/epi....

#epilepsy #Epilepsia #ILAE #antiepilepticdrug #antiseizuremedication #discontinuation #lacosamide #seizure

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We used novel TMS techniques to investigate how two antiseizure medications, carbamazepine and lacosamide, affect axonal excitability in cortical neurons.
doi.org/10.1111/epi....

#epilepsy #epilepsia #ILAE #antiseizuremedication #axonalmembrane #cortex #ionchannel #transcranialmagneticstimulation

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The efficacy of perampanel as a second-line therapy to midazolam for refractory SE was evaluated in soman-exposed rats.
doi.org/10.1002/epi4...

#epilepsy #ilae #epilepsiaopen #AMPA #antiseizuremedication #cholinergic #organophosphorusnerveagent #pharmacoresistance

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Clinicians should rule out contributing etiologies and consider CNB dose reduction if excessive weight loss occurs.
doi.org/10.1111/epi....

#epilepsy #epilepsia #ILAE #antiseizuremedication #weightchange #Cenobamate

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Key point: The first antiseizure medication was retained in use in 57.9% of the patients until the end of the follow-up.
doi.org/10.1002/epi4...

#epilepsy #ILAE #epilepsiaopen #antiseizuremedication #retention #braintumor #seizures

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Key point: We examined differences in ESM initiation patterns among Traditional Medicare beneficiaries after AIS discharge
doi.org/10.1111/epi....

#epilepsy #Ilae #epilepsia #acuteischemicstroke #antiseizuremedication #initiationpatterns #olderadults

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Antiseizure potential of the triple T‐type calcium channel blocker ACT‐709478 (apinocaltamide) in rodent models Objective T-type Ca2+ channels in the brain contribute to the generation of spike-and-wave discharges (SWDs). Absence seizures are defined by the occurrence of SWDs and are associated with impairmen...

Key point: ACT-709478 is a potent blocker of all three T-type Ca2+ channels without off-target activities.
onlinelibrary.wiley.com/doi/10.1111/...

#epilepsy #Ilae #epilepsia #absenceseizures #antiseizuremedication #convulsiveseizures #GAERS #TtypeCa2+channelblocker #WAG/Rij

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Key point: Seizure freedom was achieved in 84% of patients, but 51% had severe intellectual impairments.
onlinelibrary.wiley.com/doi/full/10....

#epilepsy #ILAE #epilepsia #Antiseizuremedication #ASM #Hemispherotomy #MRIabnormalities #Polymicrogyria #Seizurefreedom

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Comparison of lacosamide, levetiracetam, and valproate as second-line therapy in adult status epilepticus: Analysis of a large cohort
doi.org/10.1111/epi....

#epilepsy #ilae #epilepsia #antiseizuremedication #cohortstudy #comparativestudy #lacosamide #statusepilepticus

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Key point: wEEG is useful for frequent 12–24-h home-based monitoring in adult patients with typical absence seizures.
doi.org/10.1111/epi....

#epilepsy #ilae #epilepsia #absenceseizures #antiseizuremedication #idiopathicgeneralizedepilepsy #personalizedmedicine #wearableelectronicdevices

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Key point: We hypothesized that the time course of the BASED score after ES remission is associated with ES relapse.
doi.org/10.1111/epi....

#epilepsy #ilae #antiseizuremedication #electroencephalography #hypsarrhythmia #interraterreliability #Westsyndrome

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Key point: Observed concentration ranges for the included anti-seizure medications showed good overall concordance with established reference ranges from Danish laboratories except for levetiracetam.
doi.org/10.1111/epi....

#epilepsy #ILAE #antiseizuremedication #therapeuticdrugmonitoring

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Key point: Patients included in this EAP had a median history of 22 years of epilepsy, a median of 9 prior failed ASMs, and 41.9% had epilepsy surgery.
doi.org/10.1002/epi4...

#epilepsy #ilae #epilepsiaopen #antiseizuremedication #cenobamate #responderrate #seizurefreedom

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Key point: A total of 375 patients enrolled in this Dravet syndrome (DS) open-label extension (OLE) study; fenfluramine (FFA) median treatment duration was 824 days (n = 368).
doi.org/10.1111/epi....

#epilepsy #ilae #antiseizuremedication #seizure

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