Neonatal Intractable Seizures and Valproic acid Therapy

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Valproic acid overdose and L-carnitine therapy.

A healthy, nonepileptic 16-month-old child ingested a massive overdose (approximately 4000 mg) of valproic acid (VPA). Upon admission to the hospital, he was in a deep coma and had generalized hypotonicity and no response to pain. His serum and urinary concentrations of VPA were 1316.2 and 3289.5 micrograms/mL, respectively. Urinary concentrations of the beta-oxidation metabolites of VPA were l...

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VALPROIC ACID- valproic acid solution Par Pharmaceutical ----------

WARNINGS: LIFE THREATENING ADVERSE REACTIONS See full prescribing information for complete boxed warning. Hepato toxicity, including fatalities, usually during first 6 months o f treatment. Children under the age of two years and patients with mitochondrial disorders are at higher risk. Monitor patients c losely, and perform serum liver testing prior to therapy and at frequent intervals thereaf...

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Neonatal Episodic Hypoglycemia: A Finding of Valproic Acid Withdrawal

The treatment of epilepsy during pregnancy is a worldwide problem. Drugs need to be used to control seizures in the mothers. In utero, exposure to valproic acid (VPA) and phenytoin (PH) may cause congenital malformations and also withdrawal symptoms such as irritability, jitteriness and symptoms of hypoglycemia. We present here a newborn with episodic hypoglycemia due to in utero exposure to VP...

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Neonatal seizures

The incidence of seizures in infants born at term is 0.53 per 1000 live births; the incidence is even higher in preterm infants, ranging from 113% of very low birthweight infants3. Variations of described numbers of incidence can be explained by different diagnostic definitions and methods used. Most of these epidemiological studies include only clinical seizures. The exact incidence of elect...

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Neonatal seizures.

In childhood, the risk for seizures is greatest in the neonatal period. Currently used therapies have limited efficacy. Although the treatment of neonatal seizures has not significantly changed in the past several decades, there has been substantial progress in understanding developmental mechanisms that influence seizure generation and responsiveness to anticonvulsants. This review includes an...

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ژورنال

عنوان ژورنال: Pediatric Neurology Briefs

سال: 1988

ISSN: 2166-6482,1043-3155

DOI: 10.15844/pedneurbriefs-2-3-6