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Rufinamide as an adjuvant treatment in children with Lennox-Gastaut syndrome

 Shin Hye Kim  ;  So-Hee Eun  ;  Hoon-Chul Kang  ;  Eun Ji Kwon  ;  Jung Hye Byeon  ;  Young-Mock Lee  ;  Joon Soo Lee  ;  Baik-Lin Eun  ;  Heung Dong Kim 
 Seizure - European Journal of Epilepsy, Vol.21(4) : 288-291, 2012 
Journal Title
 Seizure - European Journal of Epilepsy 
Issue Date
PURPOSE: To evaluate the efficacy of rufinamide as an add-on treatment in children and adolescents with Lennox-Gastaut syndrome (LGS). METHODS: The study was an open-label, observational clinical trial of rufinamide as an add-on treatment in intractable LGS patients. This intent-to-treat trial included 4 weeks of scheduled titrated doses and a 12-week maintenance phase with a target dose of 20-40 mg/kg rufinamide, adjusted according to its effectiveness and tolerability after a baseline period of 4 weeks. The primary outcome was measured by the seizure-reduction rate according to individual seizure type over the 12-week maintenance period. RESULTS: One hundred and twenty-eight patients with LGS who were determined to be unresponsive to one or more antiepileptic drugs or dietary therapy were enrolled. Of the 128 patients enrolled, 112 (87.5%) completed the study. After add-on rufinamide treatment, 46 patients (35.9%) achieved a more than 50% reduction in seizure frequency and 10 (7.8%) patients became seizure-free. When we identified those who responded with an at least 50% reduction in seizure frequency, 39.4% of the responders reported reductions in convulsive seizures, 36.4% in drop attacks, 33.3% in myoclonic seizures, and 20.0% in epileptic spasms. Overall, 32.8% of patients reported adverse effects, which were mostly mild and transient in nature. The most common adverse effects were fatigue (15 patients, 11.7%) and poor appetite (9 patients, 7.0%). Twenty-one (16.4%) patients experienced an increased seizure frequency. CONCLUSIONS: Rufinamide appears to be a safe and effective adjuvant treatment for many cases of intractable LGS.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실)
Yonsei Authors
강훈철(Kang, Hoon Chul) ORCID logo https://orcid.org/0000-0002-3659-8847
권은지(Kwon, Eun Ji)
김신혜(Kim, Shin Hye)
김흥동(Kim, Heung Dong)
은호선(Eun, Ho Seon)
이영목(Lee, Young Mock)
이준수(Lee, Joon Soo)
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