1,720,981 research outputs found

    Encefalopatia di Hashimoto: un'encefalopatia epilettogena transitoria?

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    CL., donna di 62 anni, di origine filippina, emigrata in Italia da oltre 20 anni, diabetica con anamnesi negativa per precedenti epilettici e/o per altre patologie di rilievo, viene ricoverata per severo stato confusionale postcritico persistente a 72 ore dall'esordio. Al momento del ricovero sono presenti un grave disordine confabulatorio e sintomi dispercettivi sia acustici sia visivi; la paziente riferisce intensa cefalea diffusa e presenta una regressione linguistica, consistente nella capacità di esprimersi esclusivamente nella sua lingua d'origine, benché i familiari confermino una completa padronanza della lingua italiana

    Modelli e Metodiche innovative nella Valutazione Dinamica di Neurofarmaci

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    Università degli Studi di Napoli Federico II consorziata con Università degli studi di Bar

    Comparison of levetiracetam and lamotrigine in late-onset epilepsy

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    Purpose: To compare the efficacy and safety of add-on treatment of levetiracetam (LEV) and lamotrigine (LTG) in elderly patients with epilepsy. Methods: LEV or LTG were randomly assigned (1:1) to aged epilepsy patients clinically uncontrolled on antiepileptic drug (AED) monotherapy regimens. Patients were assessed fora 12 month followup period by means of diaries, side-effect scales, EEG and neuropsychological tasks. Results: At 12 month evaluation 5 (25%) patients undergoing LEV and 2 (10%) undergoing LTG were seizure-free. Seizure reduction > 50% was seen in 14 of 20 (70%) patients receiving LEV and in 4 of 20 (20%) receiving LTG. 2 patients premature1y discontinued LEV due to side effects an d 5 discontinued LTG for lack of efficacy or side effects. At the end of the study seizure-free subjects, after discontinuation of the first AED, underwent a further 12 month monotherapy follow-up. Conclusion: Our evidence suggests that efficacy/safety of LEV in elderly patients may be in some instances superior to those observed far LTG. LEV could also have substantial potential use in the elderly as monotherapy proposal because of its easy and fast titration and lack of drug interactions
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