OBJECTIVE To investigate the effect of antiepileptic drugs, especially carbamazepine and valproate, on intelligence in prenatally exposed children of mothers with epilepsy. METHODS Intelligence of 182 children of mothers with epilepsy (study group) and 141 control children was tested in a blinded setting at preschool or school age using Wechsler Preschool… (More)
Although maternal ingestion of antiepileptic drugs is strongly suspected of causing congenital defects, particularly oral clefts, the effect of epilepsy itself or a combined effect of drug intake and epilepsy have not been excluded as etiological factors. Very little is known about fetal oxygenation during a maternal grand mal epileptic seizure. We describe… (More)
It is suggested that the peptide hormones common to the brain and intestine provide a physiological basis to the hypothesis that acute gastroenteritis during the first postnatal month may be associated with spontaneous epileptogenic activity in EEG and lowered seizure threshold in adult age.
154 pregnancies of 140 epileptic patients were observed in a prospective study. The number of seizures during pregnancy and 3 first puerperal months was compared with the number of seizures during the 12 months preceding pregnancy. An increase in the number of seizures was noticed in 32% of the cases, a decrease in 14% and unchanged frequency in 23% of the… (More)
111 pregnancies of epileptic women on phenytoin therapy were observed in a prospective study. Maternal serum phenytoin concentrations were measured monthly or bi-weekly during pregnancy, labor and puerperium. The concentration decreased towards the end of pregnancy and was lowest at delivery. In 48% of the patients the drug dosage had to be increased to… (More)
The probability of an intracerebral neoplasm occurring in patients presenting with first seizure was calculated using the data provided by four recent studies. After recording the history of the patients and performing clinical neurological examinations, the probability of a neoplasm was increased or reduced substantially, allowing rational decision to be… (More)
Clobazam was added to the previous antiepileptic drug therapy of 90 children suffering from drug resistant epilepsy. Ten patients became seizure free, although four of these later developed tolerance. Thirty-three patients experienced a decrease in seizure frequency, and 24 of these, too, developed tolerance. Forty-four patients showed no change in seizure… (More)
Eleven epileptic patients, candidates for surgical treatment, were examined in order to localize epileptic foci. The daily doses of antiepileptic drugs (AEDs) were reduced by fifty per cent or less, and the reduced dosages were maintained until a seizure had occurred. The reduction resulted in seizures within five days among all patients, and the number of… (More)