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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1991-11-14
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pubmed:abstractText |
Amantadine hydrochloride has been shown in several open studies to benefit children with refractory generalized epilepsy. We used amantadine as adjunctive therapy in 10 adolescents and adults with generalized tonic-clonic, myoclonic, or absence seizures refractory to therapeutic levels of valproate, carbamazepine, phenytoin, and benzodiazepines. Seven patients were men and 3 were women aged 18-29 years, and 8 of 10 patients were mentally retarded. All patients had generalized epileptiform paroxysms on EEG, with generalized or absence seizure recorded in 9. Five patients had both absence and tonic-clonic seizures, and 2 had all three seizure types. Amantadine was added to the existing regimens in weekly increments to 400 mg/day. Two patients had greater than 90 per cent seizure reduction, both with vomiting and somnolence. Two patients had seizure reduction between 50 and 90 per cent, 1 with anorexia and sleepiness. Three patients had no change in seizures, and 3 had worse tonic-clonic seizures. Amantadine may have some antiepileptic efficacy of unknown mechanism, but it may worsen generalized tonic-clonic seizures and is likely to be of limited value in adults.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0300-9009
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
91
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
159-64
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1927254-Adolescent,
pubmed-meshheading:1927254-Adult,
pubmed-meshheading:1927254-Amantadine,
pubmed-meshheading:1927254-Anticonvulsants,
pubmed-meshheading:1927254-Epilepsy, Absence,
pubmed-meshheading:1927254-Epilepsy, Generalized,
pubmed-meshheading:1927254-Epilepsy, Tonic-Clonic,
pubmed-meshheading:1927254-Female,
pubmed-meshheading:1927254-Humans,
pubmed-meshheading:1927254-Male,
pubmed-meshheading:1927254-Nausea,
pubmed-meshheading:1927254-Vomiting
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pubmed:year |
1991
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pubmed:articleTitle |
Amantadine hydrochloride for refractory generalized epilepsy in adults.
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pubmed:affiliation |
Norman Allen Department of Neurology, Ohio State University College of Medicine, Columbus.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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