Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1988-3-15
|
pubmed:abstractText |
Fifteen (12.7%) among 118 cases of the West syndrome were effectively treated by high-dose pyridoxal phosphate (PAL-P). 1) Clinical seizures were completely suppressed in 12 cases with PAL-P alone, and in 3 cases by an addition of PAL-P to the previously poorly-effective regimen. At the follow-up, 12 cases have continued to be free from seizures, while two cases relapsed into the Lennox-Gastaut syndrome, and one died. 2) Electroencephalographically hypsarhythmia disappeared by PAL-P in all 15 effective cases. 3) Effective daily dose of PAL-P was 30 to 400 mg. 4) Notably, PAL-P was effective even in the cases with obvious organic brain pathology, such as tuberous sclerosis, porencephaly, holoprosencephaly, postmeningitis, besides 5 idiopathic cases. 5) Efficacy of PAL-P was significantly higher in idiopathic cases than symptomatic cases; 35.7% vs 9.6%. 6) Response to PAL-P was not predictable by any laboratory data nor clinical features. 7) Prognosis of PAL-P responsive cases was favorable; as many as 6 cases developed normally among 14 cases followed-up. Treatment with a high-dose PAL-P should be tried in all cases of the West syndrome at first.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0387-7604
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
9
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
418-21
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:3434717-Administration, Oral,
pubmed-meshheading:3434717-Adolescent,
pubmed-meshheading:3434717-Child,
pubmed-meshheading:3434717-Child, Preschool,
pubmed-meshheading:3434717-Electroencephalography,
pubmed-meshheading:3434717-Follow-Up Studies,
pubmed-meshheading:3434717-Humans,
pubmed-meshheading:3434717-Infant,
pubmed-meshheading:3434717-Injections, Intramuscular,
pubmed-meshheading:3434717-Pyridoxal Phosphate,
pubmed-meshheading:3434717-Spasms, Infantile
|
pubmed:year |
1987
|
pubmed:articleTitle |
Treatment of the West syndrome with high-dose pyridoxal phosphate.
|
pubmed:affiliation |
Department of Child Neurology, Okayama University Medical School, Japan.
|
pubmed:publicationType |
Journal Article
|