このエントリーをはてなブックマークに追加


ID 56181
JaLCDOI
フルテキストURL
72_4_419.pdf 2.35 MB
著者
Miyake, Susumu Department of Pediatrics, Tokiwa-Kure Facilities for Persons with Severe Motor and Intellectual Disabilities
Sugita, Makio Department of Pediatrics, Tokiwa-Kure Facilities for Persons with Severe Motor and Intellectual Disabilities
Okazaki, Tomio Department of Pediatrics, Tokiwa-Kure Facilities for Persons with Severe Motor and Intellectual Disabilities
Takenaka, Mieko Department of Child Neurology, Hiroshima City Hiroshima Citizens Hospital
Kuwabara, Kentarou Department of Child Neurology, Hiroshima City Hiroshima Citizens Hospital
Ogawa, Kazunori Department of Child Neurology, Hiroshima City Hiroshima Citizens Hospital
抄録
A 22-year-old Japanese male with trisomy 21 was diagnosed with West syndrome at 4 months old. After the suppression of epileptic spasms using adrenocorticotropic hormone therapy, he had complex partial seizures and bilateral frontal epileptic discharges on EEG. Although the introduction of topiramate (TPM) decreased the seizures during wakefulness, frequent episodes of brief eye-opening appeared during sleep while the patient was taking TPM (400 mg/day). EEG showed fast activity at the times of eye-opening. The episodes of eye-opening during sleep and the fast activities disappeared upon TPM discontinuation. This is the first report of TPM-induced microseizures similar to benzodiazepine-induced microseizures.
キーワード
topiramate
microseizures
paroxysmal fast activity
side effects
seizure aggravation
Amo Type
Case Report
出版物タイトル
Acta Medica Okayama
発行日
2018-08
72巻
4号
出版者
Okayama University Medical School
開始ページ
419
終了ページ
422
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
英語
著作権者
CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID