Powered by OpenAIRE graph
Found an issue? Give us feedback
addClaim

[Apparent drug resistance in epilepsy].

Authors: P, Wolf;

[Apparent drug resistance in epilepsy].

Abstract

To elucidate possible sources of error in the assessment of drug-resistant epilepsy questionnaires were sent, at least one year after hospital discharge, to 259 patients hospitalized between 1. 1. and 31. 12. 1986 because of epilepsy. Information thus obtained included whether and what seizures had occurred after discharge and what drugs had been taken. Answers were received from 173 patients (67%). They revealed that 18 patients (12 men and 6 women; mean age 29.6 [16-58] years) had, before hospitalization, been wrongly thought to have epilepsy resistant to antiepileptic drugs, significantly more often (P less than 0.05) those with generalized epilepsy (21.2%) than with focal seizures (7.4%) or those with both generalized and focal attacks (9.4%). In five patients increasing the dosage of a drug currently taken stopped the seizures. In 12 patients at least one new drug was introduced, in seven of them as a differentiated choice guided by type of seizure and kind of epilepsy. In 11 of these patients the dosage of other drugs could be reduced or the drug discontinued altogether. In one woman seizures stopped after clonazepam had been discontinued. With two exceptions (mesuximide) success was achieved with just one of five standard antiepileptic drugs or by individually determined combinations of them. These results indicate that even in apparent drug resistance absence from seizures can be achieved in many cases of epilepsy if treatment strictly follows accepted principles.

Keywords

Adult, Male, Epilepsy, Adolescent, Germany, Surveys and Questionnaires, Drug Resistance, Humans, Anticonvulsants, Female, Middle Aged, Retrospective Studies

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    7
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Top 10%
Average
Related to Research communities
Upload OA version
Are you the author of this publication? Upload your Open Access version to Zenodo!
It’s fast and easy, just two clicks!