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Right arrow Neurology & Psychiatry

PEDIATRICS Vol. 104 No. 5 November 1999, pp. 1106-1116

SPECIAL ARTICLE:
Managing Pediatric Epilepsy Syndromes With New Antiepileptic Drugs

Received Jun 25, 1998; accepted Mar 25, 1999.

John M. Pellock

From the Division of Child Neurology, Medical College of Virginia of Virginia Commonwealth University, Richmond, Virginia.

The management of epilepsy in the pediatric patient requires careful evaluation, classification, and pharmacologic treatment. Despite best efforts on the part of clinicians, approximately 25% of children remain refractory to appropriate medical therapies. The development of an improved classification system and the emergence of several new antiepileptic drugs have enabled some progress in this area, specifically in children with disorders such as Lennox-Gastaut syndrome and infantile spasms, which are notoriously difficult to control. However, limited data are available that define the optimal use of new antiepileptic agents in pediatric patients. To most effectively treat children with epilepsy syndromes, further research must be completed to validate the positive effects described in case reports, open-label clinical trials, and early controlled clinical trials.

 Key words:  epilespy, pediatrics, antiepileptic drugs.




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