backgroundabout 15 to 40% of children with seizures are refractory to standard anti-epileptic drugs and for such patients, other treatments such as surgery and the ketogenic diet can reduce seizure frequency. melatonin is a natural pineal gland hormone. the use of melatonin for controlling pediatric seizures is still controversial. this study aimed to evaluate the effect of melatonin on seizure...

intractable epilepsy is a common clinical problem in pediatrics and approximately 13% of children with epilepsy experience intractable seizures. to determine the efficacy of pyridoxine in treating seizures, 30 infants and children with recurrent seizures were enrolled in the present study. all of them were treated with high-dose oral pyridoxine (40 mg/kg/day), as an adjunct to antiepileptic dru...

objective to determine the role of ketogenic diet in the treatment of intractable epilepsy in children. materials & methods sixty six consecutive children (1-16 years old) with intractable epilepsy whose seizure were not neurodegenerative nor febrile in origin were recruited. they received the ketogenic diet and we evaluated its effect on seizure frequency for 3 months. all these children had m...

objective the aim of the present study was to evaluate the efficacy and tolerability of a modified atkins diet for intractable childhood epilepsy. materials & methods twenty one children with medically intractable epilepsy were enrolled in the study. inclusion criteria were at least four seizures per month and a trial of at least three anticonvulsants without becoming seizure-free. the subjects...

BackgroundAbout 15 to 40% of children with seizures are refractory to standard anti-epileptic drugs and for such patients, other treatments such as surgery and the ketogenic diet can reduce seizure frequency. Melatonin is a natural pineal gland hormone. The use of melatonin for controlling pediatric seizures is still controversial. This study aimed to evaluate the effect of melatonin on seizure...

post-traumatic epileptic seizure is a common complication of brain trauma including military injuries. we present clinical characteristics and correlates of post-traumatic epilepsy in 163 head-injured veterans suffering from intractable epilepsy due to blunt or penetrating head injuries sustained during the iraq-iran war. the medical records of 163 war veterans who were admitted by the epilepsy...

objective the lennox-gastaut syndrome (lgs), one of the most difficult epilepsy syndromes to treat, is characterized by a triad of intractable seizures of various types, a slow (< 2.5-hertz) spike-wave pattern in eeg and mental retardation. the aim of this study was to evaluate the efficacy and safety of lamotrigine as add-on therapy in intractable epilepsy of children with lgs. materials & met...

pyridoxine dependent seizure have been recornized as a rare and important cause of intractable seizure in neonates and infants.prompt diagnosis and treatment can stop and prevent these seizure and consequential developmental disabilities.furthermore it can eliminate the unnecessary administration of anticonvulsant medications and thier side effects.the paitient was 7 months old infant who was r...

objective in the majority of patients with intractable epilepsy, seizures can be well controlled with appropriate medication. however, current estimates indicate that some of patients with epilepsy are refractory to all forms of medical therapy. the surgical treatment of intractable epilepsy in children has  evolved with advances in technical innovations. these medically intractable patients ar...