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نوع الوثيقة |
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مقال في مجلة دورية |
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عنوان الوثيقة |
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علاج الكلوبازام للصرع المستعصي لدى الأطفال Clobazam For The Treatment of Intractable Childhood Epilepsy. |
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لغة الوثيقة |
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الانجليزية |
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المستخلص |
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Background: Clobazam is a newer 1,5-benzodiazepine used for the treatment of epilepsy. It is better tolerated and less sedating than other benzodiazepines. It has yet to gain wide use for epilepsy in the middle east. Our objective is to report our experience with clobazam for the treatment of childhood epilepsy. Method: A cohort of children with intractable epilepsy, defined as recurrent seizures after at least 3 antiepileptic medication trials, were included prospectively. Clobazam was added to a maximum dose of 2 mg/kg/day. Follow up by two pediatric neurologist was performed. Therapeutic response was recorded as complete (no seizures), Good (>50% seizure reduction), fair (<50% seizure reduction), or none. Results: 31 children (21 males - 10 females), aged 2 months-15 years (mean 4.6 y) were followed for 3-12 months. Most children (68%) had daily seizures and were on multiple antiepileptic drugs (mean 2.3, +/- SD 1). Fourteen (45%) children had Lennox-Gastaut Syndrome. After the introduction of Clobazam, 11 (35.5%) became completely seizure free and 14 (45%) had >50% seizure reduction. Side effects were reported in 7 (22.5%) in the form of excessive sedation, vomiting, irritability, behavioral change, and ataxia. In 4 children these side effects resolved either spontaneously or with dose reduction. Conclusions: Clobazam is a well tolerated, safe, and very effective antiepileptic drug. It has a broad spectrum of antiepileptic activity, minimal side effects, and is relatively inexpensive. Wider use of this drug is recommended in children with intractable epilepsy. |
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ردمد |
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0306-4522 |
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اسم الدورية |
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Saudi Medical Journal |
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المجلد |
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7 |
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العدد |
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21 |
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سنة النشر |
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2000 هـ
2000 م |
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نوع المقالة |
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مقالة علمية |
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تاريخ الاضافة على الموقع |
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Saturday, March 13, 2010 |
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الباحثون
| محمد جان | jan, Mohammed | باحث | دكتوراه | |
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