- |||||||||| levetiracetam / Generic mfg., carbamazepine / Generic mfg.
Clinical description of patients with PCDH19 mutation. A multicentre retrospective study (Foyer 3B, 3rd Floor) - May 29, 2023 - Abstract #EPNS2023EPNS_429; 52/100.000 ); 2/ higher proportion of positive familial epileptic history; 3/high proportion of status epilepticus, 4/ higher proportion of brain anomalies on MRI. Molecular genetic testing for PCDH 19 mutation is necessary especially in girls with early onset childhood epilepsies.
- |||||||||| lacosamide / Generic mfg.
A case of two sisters with DEPDC5-related epileptic encephalopathy successfully treated with lacosamide add-on therapy (Foyer 3B, 3rd Floor) - May 29, 2023 - Abstract #EPNS2023EPNS_419; Although, there is currently no evidence that seizures respond better to one particular anti-seizure medication, one case series reported some positive effects from SCB anti-seizure drugs, with 5 out of 8 patients seizure free on monotherapy. While DEPDC5 is not a commonly associated gene with infantile spasms, 10% of probands were reported to have infantile spasms, and DEPDC5-related infantile spasms may have favorable responses to LCM.
- |||||||||| In utero seizures - prediction of genetic epilepsy (Foyer 3B, 3rd Floor) - May 29, 2023 - Abstract #EPNS2023EPNS_415;
Seizures stopped and the girl was put on carbamazepine (25 mg/kg per day) She is seizure free since then and acquires her milestones with some delay, occasionally she has dystonic movements Genetic test results came in 2 weeks after introduction of carbamazepine ( sequence analysis and deletion/duplication testing of the 1769 genes - multi-panel testing)...Conclusion. In utero seizures are reported rarely and should be suspicious for KCNQ2 -related seizures
- |||||||||| lacosamide / Generic mfg., levetiracetam / Generic mfg., hydroxyurea / Generic mfg.
Journal: Newly diagnosed PRES in a sickle cell diseased patient: a case report. (Pubmed Central) - May 25, 2023 However, the addition of other medications like anticonvulsants (levetiracetam and lacosamide) to prevent seizures as a consequence of PRES still remains debatable. Considering the case reported below, the addition of Hydroxyurea to the treatment can be another cause of the recurrence of PRES and needs to be weighed for its risks and benefits.
- |||||||||| levetiracetam / Generic mfg.
Journal: Managing Antiseizure Medications in Pregnancy: Is Earlier and More Frequent Monitoring Better? (Pubmed Central) - May 24, 2023 We calculated the dose-normalized concentration (DNC) for analysis with levetiracetam and lamotrigine, assessing changes in DNC over time by half trimesters, and analyzed DNC and effects on seizures in pregnancy...However, in those with drug-resistant epilepsy before pregnancy, earlier and closer monitoring is warranted given the risk of seizures early during pregnancy. Larger prospective studies are needed to confirm these results.
- |||||||||| lorazepam / Generic mfg., levetiracetam / Generic mfg.
A Case of Anorexia Nervosa With Severe and Rare Medical Complications Illustrates the Need for Collaborative Care (Hall B Foyer, Exhibition Level Moscone South) - May 17, 2023 - Abstract #APA2023APA_1325; Fortunately, orthostasis resulting in fall and subarachnoid hemorrhage did not cause any major harm to this patient but her risk for catastrophic injury remains elevated because of extremely poor nutritional status, dehydration, and electrolyte imbalance. There is evidence that prompt early interventions may prevent the development of irreversible complications, poor insight, and reluctance to seek help remain the major obstacles.
- |||||||||| Spravato (esketamine intranasal) / J&J
Intranasal Esketamine for Peripartum Depression With Comorbid Lg1+ Limbic Encephalitis (Hall B Foyer, Exhibition Level Moscone South) - May 17, 2023 - Abstract #APA2023APA_763; This is the second case of esketamine use in peripartum depression reported in the literature. This case adds to the literature the potential use of esketamine in peripartum depression and depression comorbid with epilepsy.
- |||||||||| levetiracetam / Generic mfg., midazolam hydrochloride / Generic mfg., idebenone / Generic mfg.
Journal: Diffuse posterior leukoencephalopathy in MELAS without stroke-like episodes: A case report. (Pubmed Central) - May 9, 2023 Our patient also had an unusual type of insulinoma as it was cystic. MELAS syndrome without stroke-like episodes of diffuse posterior cerebral white matter lesions is rare in clinical practice, and the possibility of MELAS syndrome should be considered in symmetric posterior cerebral white matter lesions.
- |||||||||| levetiracetam / Generic mfg.
Preclinical, Journal, IO biomarker: Quercetin Protects against Levetiracetam induced gonadotoxicity in rats. (Pubmed Central) - May 8, 2023 In contrast to all of these gonadotoxic effects of LEV, improvements in LEV-induced gonadal damage were seen through upregulation of Nrf2/ HO-1, Cx-43/NOX-1, mTOR/Atg-7 expression and attenuation of hypogonadism, poor sperm quality, mitochondria-mediated apoptosis, and oxidative inflammation due to quercetin post-treatment. The modulation of Nrf2/HO-1, /mTOR/Atg-7 and Cx-43/NOX-1 levels and the inhibition of mitochondria-mediated apoptosis and oxido-inflammation in LEV-induced gonadotoxicity in rats suggest that quercetin may hold promise as a possible therapeutic treatment.
- |||||||||| ethambutol / Generic mfg., levetiracetam / Generic mfg.
Journal: The identification of a robust leucine dehydrogenase from a directed soil metagenome for efficient synthesis of L-2-aminobutyric acid. (Pubmed Central) - May 7, 2023 The robustness of TvLeuDH allowed the reaction to be performed without the addition of extra salt as the buffer, demonstrating the simplest reaction system currently reported. These unique properties for the efficient and environmentally friendly production of chiral amino acids make TvLeuDH a particularly promising candidate for industrial applications, which reveals the great potential of directed metagenomics for industrial biotechnology.
- |||||||||| phenobarbital / Generic mfg., levetiracetam / Generic mfg.
Retrospective data, Journal: EEG and clinical characteristics of neonatal parechovirus encephalitis. (Pubmed Central) - May 1, 2023 Interictal EEG shows a dysmature background with excessive asynchrony, discontinuity, burst-suppression pattern, and multifocal sharp transients. However, we note that 100 % of patients responded quickly to standard ASM, and did not have seizures after hospital discharge- a factor that can help distinguish it from a genetic epilepsy syndrome.
- |||||||||| levetiracetam / Generic mfg.
Enrollment open: NEOLEV3: A Dose Escalation Study of Levetiracetam in the Treatment of Neonatal Seizures (clinicaltrials.gov) - May 1, 2023 P2b, N=133, Recruiting, However, we note that 100 % of patients responded quickly to standard ASM, and did not have seizures after hospital discharge- a factor that can help distinguish it from a genetic epilepsy syndrome. Not yet recruiting --> Recruiting
- |||||||||| levetiracetam / Generic mfg.
Journal: Lessons learnt from therapeutic drug monitoring of levetiracetam. (Pubmed Central) - Apr 17, 2023 Observed changes in tracer kinetics and volume of distribution might be explained by physiological changes due to anesthesia, as well as by induced cellular effects. No abstract available
- |||||||||| methotrexate / Generic mfg.
Review, Journal: A critical review of methotrexate clinical interactions: role of transporters. (Pubmed Central) - Apr 10, 2023 Moreover, patients' risk factors, hypoalbuminemia, renal failure, third space fluid retention, the elderly, polypharmacy, and transport inhibition are the most critical factors for MTX toxicity. If substitution or temporary discontinuation is not possible, healthcare providers should be aware of interactions, especially in patients with risk factors for MTX toxicity.
- |||||||||| levetiracetam / Generic mfg.
Journal: Effect of levetiracetam therapy on electrocardiographic parameters. (Pubmed Central) - Mar 28, 2023 The study also established the significance of a collaborative clinical and methodological expert group for the update of CPGs, as well as the usability of the "CheckUp" and "RIGHT-Ad@pt" CPG Tools. In this study, levetiracetam was found to have no effect on ECG parameters.
- |||||||||| Remicade (infliximab) / Merck (MSD), Mitsubishi Tanabe, J&J, Stelara (ustekinumab) / J&J
Posterior reversible encephalopathy syndrome following immunosuppressive treatment for ulcerative colitis. () - Mar 27, 2023 - Abstract #BSPGHAN2023BSPGHAN_131; The patient was started on IV hydrocortisone 2.5mg/kg QDS and a 5-ASA...The patient had some ongoing focal seizure activity so levetiracetam was continued...A review of the literature shows steroids and hypertension as a frequent causative mechanism of PRES. The association between PRES syndrome and infliximab is not well defined, however there are a few single case reports published of PRES syndrome in patients treated with either infliximab or Ustekinumab.
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