Can sodium valproate improve learning in children with epileptiform bursts but without clinical seizures?

This study aimed to determine whether sodium valproate (VPA) improves cognitive performance and behaviour in children with learning and behavioural problems associated with electrographic epileptiform discharges but without clinical seizures. A randomized, double-blind, single-crossover trial was ca...

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Publicado en:Developmental Medicine & Child Neurology Vol. 42; no. 11; pp. 751 - 756
Autores principales: Ronen, Gabriel M, Richards, Joanne E, Cunningham, Charles, Secord, Margaret, Rosenbloom, David, Ronen, G M, Richards, J E, Cunningham, C, Secord, M, Rosenbloom, D
Formato: clinical trial research randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Nov2000
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2000
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1469-8749.2000.tb00038.x
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        atl: Can sodium valproate improve learning in children with epileptiform bursts but without clinical seizures?
      aug:
        au:
          Ronen, Gabriel M
          Richards, Joanne E
          Cunningham, Charles
          Secord, Margaret
          Rosenbloom, David
          Ronen, G M
          Richards, J E
          Cunningham, C
          Secord, M
          Rosenbloom, D
        affil: Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
      sug:
        subj:
          Anticonvulsants Therapeutic Use
          Child Behavior Disorders Drug Therapy
          Learning Disorders Drug Therapy
          Epilepsy Complications
          Valproic Acid Therapeutic Use
          Learning Disorders Etiology
          Epilepsy Drug Therapy
          Male
          Child
          Female
          Human
          Treatment Outcomes
          Attention
          Crossover Design
          Double-Blind Studies
          Child Behavior Disorders Etiology
          Clinical Trials
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Child Behavior Checklist
          Scales
          Child: 6-12 years
          Male
          Female
      ab: This study aimed to determine whether sodium valproate (VPA) improves cognitive performance and behaviour in children with learning and behavioural problems associated with electrographic epileptiform discharges but without clinical seizures. A randomized, double-blind, single-crossover trial was carried out with VPA or placebo on eight participants with different learning and behaviour problems. Participants also underwent neuropsychological testing under video EEG and the parent and teacher Behaviour Check List (CBCL; Achenbach 1991a, b) during each treatment phase. Clinically none of the children improved on VPA. On formal testing children were more distractable, had increased delay in response time, and showed lower memory scores while on VPA. In addition, parents reported higher internalizing scores on the CBCL while children were on VPA. Our data do not support the use of VPA in similar patients.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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