Short-Term Response of Sleep-Potentiated Spiking to High-Dose Diazepam in Electric Status Epilepticus During Sleep
Abstract We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage...
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| Published in | Pediatric neurology Vol. 46; no. 5; pp. 312 - 318 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.05.2012
Elsevier |
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| Online Access | Get full text |
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| Abstract | Abstract We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage of 1-second bins containing at least one spike, and calculated it during three randomly selected 5-minute samples of wakefulness throughout the day and during the first 5 minutes of every hour of non-rapid eye movement sleep at night. In this study, patients were considered to demonstrate sleep-potentiated epileptiform activity when their spike percentage during sleep was increased by ≥50% compared with wakefulness. Twenty-nine children (18 boys) were included (median age, 7.4 years). Twenty-four hours after receiving high-dose diazepam, epileptiform activity was significantly reduced (76.7% at baseline vs 40.8% 24 hours after high-dose diazepam; Wilcoxon signed ranks test, Z = −4.287, P < 0.0001). Seven patients (24.1%) manifested mild, reversible side effects during the first 48 hours after diazepam administration. High-dose oral diazepam effectively and safely reduced epileptiform activity in patients with electric status epilepticus during sleep. |
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| AbstractList | Abstract We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage of 1-second bins containing at least one spike, and calculated it during three randomly selected 5-minute samples of wakefulness throughout the day and during the first 5 minutes of every hour of non-rapid eye movement sleep at night. In this study, patients were considered to demonstrate sleep-potentiated epileptiform activity when their spike percentage during sleep was increased by ≥50% compared with wakefulness. Twenty-nine children (18 boys) were included (median age, 7.4 years). Twenty-four hours after receiving high-dose diazepam, epileptiform activity was significantly reduced (76.7% at baseline vs 40.8% 24 hours after high-dose diazepam; Wilcoxon signed ranks test, Z = −4.287, P < 0.0001). Seven patients (24.1%) manifested mild, reversible side effects during the first 48 hours after diazepam administration. High-dose oral diazepam effectively and safely reduced epileptiform activity in patients with electric status epilepticus during sleep. We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage of 1-second bins containing at least one spike, and calculated it during three randomly selected 5-minute samples of wakefulness throughout the day and during the first 5 minutes of every hour of non-rapid eye movement sleep at night. In this study, patients were considered to demonstrate sleep-potentiated epileptiform activity when their spike percentage during sleep was increased by greater than or equal to 50% compared with wakefulness. Twenty-nine children (18 boys) were included (median age, 7.4 years). Twenty-four hours after receiving high-dose diazepam, epileptiform activity was significantly reduced (76.7% at baseline vs 40.8% 24 hours after high-dose diazepam; Wilcoxon signed ranks test, Z = -4.287, P < 0.0001). Seven patients (24.1%) manifested mild, reversible side effects during the first 48 hours after diazepam administration. High-dose oral diazepam effectively and safely reduced epileptiform activity in patients with electric status epilepticus during sleep. We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage of 1-second bins containing at least one spike, and calculated it during three randomly selected 5-minute samples of wakefulness throughout the day and during the first 5 minutes of every hour of non-rapid eye movement sleep at night. In this study, patients were considered to demonstrate sleep-potentiated epileptiform activity when their spike percentage during sleep was increased by ≥50% compared with wakefulness. Twenty-nine children (18 boys) were included (median age, 7.4 years). Twenty-four hours after receiving high-dose diazepam, epileptiform activity was significantly reduced (76.7% at baseline vs 40.8% 24 hours after high-dose diazepam; Wilcoxon signed ranks test, Z = -4.287, P < 0.0001). Seven patients (24.1%) manifested mild, reversible side effects during the first 48 hours after diazepam administration. High-dose oral diazepam effectively and safely reduced epileptiform activity in patients with electric status epilepticus during sleep. We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage of 1-second bins containing at least one spike, and calculated it during three randomly selected 5-minute samples of wakefulness throughout the day and during the first 5 minutes of every hour of non-rapid eye movement sleep at night. In this study, patients were considered to demonstrate sleep-potentiated epileptiform activity when their spike percentage during sleep was increased by ≥50% compared with wakefulness. Twenty-nine children (18 boys) were included (median age, 7.4 years). Twenty-four hours after receiving high-dose diazepam, epileptiform activity was significantly reduced (76.7% at baseline vs 40.8% 24 hours after high-dose diazepam; Wilcoxon signed ranks test, Z = -4.287, P < 0.0001). Seven patients (24.1%) manifested mild, reversible side effects during the first 48 hours after diazepam administration. High-dose oral diazepam effectively and safely reduced epileptiform activity in patients with electric status epilepticus during sleep. We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during sleep. We enrolled patients treated with high-dose oral bedtime diazepam from 2001-2009. We defined spike percentage as the percentage of 1-second bins containing at least one spike, and calculated it during three randomly selected 5-minute samples of wakefulness throughout the day and during the first 5 minutes of every hour of non-rapid eye movement sleep at night. In this study, patients were considered to demonstrate sleep-potentiated epileptiform activity when their spike percentage during sleep was increased by ≥50% compared with wakefulness. Twenty-nine children (18 boys) were included (median age, 7.4 years). Twenty-four hours after receiving high-dose diazepam, epileptiform activity was significantly reduced (76.7% at baseline vs 40.8% 24 hours after high-dose diazepam; Wilcoxon signed ranks test, Z = −4.287, P < 0.0001). Seven patients (24.1%) manifested mild, reversible side effects during the first 48 hours after diazepam administration. High-dose oral diazepam effectively and safely reduced epileptiform activity in patients with electric status epilepticus during sleep. |
| Author | Sánchez Fernández, Iván, MD Tas, Emir, MD Takeoka, Masanori, MD Loddenkemper, Tobias, MD Eksioglu, Yaman, MD Rotenberg, Alexander, MD, PhD Peters, Jurriaan M., MD Hadjiloizou, Stavros, MD Riviello, James J., MD Abdelmoumen, Imane, MD Kothare, Sanjeev V., MD |
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| CitedBy_id | crossref_primary_10_1097_WNP_0000000000000235 crossref_primary_10_1016_j_pediatrneurol_2013_04_027 crossref_primary_10_1111_epi_13108 crossref_primary_10_1016_S1474_4422_23_00409_X crossref_primary_10_1111_epi_12039 crossref_primary_10_1684_epd_2019_1061 crossref_primary_10_1111_epi_12678 crossref_primary_10_1515_revneuro_2020_0020 crossref_primary_10_1016_j_ncl_2022_03_011 crossref_primary_10_1002_acn3_51840 crossref_primary_10_1016_j_pediatrneurol_2013_11_002 crossref_primary_10_1097_MD_0000000000022965 crossref_primary_10_1111_dmcn_13607 crossref_primary_10_1016_j_pediatrneurol_2012_06_016 crossref_primary_10_1016_j_eplepsyres_2023_107278 crossref_primary_10_1186_s12883_021_02376_5 crossref_primary_10_17650_2073_8803_2019_14_1_7_13 crossref_primary_10_3390_jpm14010118 crossref_primary_10_1007_s10309_018_0237_3 crossref_primary_10_1155_2013_583531 crossref_primary_10_1016_j_pediatrneurol_2023_09_019 |
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| Keywords | Short term Nervous system diseases Sleep Subintrant crisis Epilepsy Central nervous system disease Sleep wake cycle High dose Status epilepticus Diazepam Cerebral disorder |
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| Snippet | Abstract We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus... We describe the short-term effects of high-dose oral diazepam on sleep-potentiated epileptiform activity in patients with electric status epilepticus during... |
| SourceID | proquest crossref pubmed pascalfrancis elsevier |
| SourceType | Aggregation Database Index Database Publisher |
| StartPage | 312 |
| SubjectTerms | Adolescent Age Anticonvulsants - therapeutic use Biological and medical sciences Brain Waves - drug effects Child Child, Preschool Children Diazepam Diazepam - therapeutic use Dose-Response Relationship, Drug Electroencephalography Epilepsy Female Firing pattern Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Male Medical sciences Nervous system (semeiology, syndromes) Neurology Pediatrics Retrospective Studies Side effects Sleep (NREM) Sleep - drug effects Sleep - physiology Sleep and wakefulness Statistics, Nonparametric Status Epilepticus - drug therapy Status Epilepticus - physiopathology Time Factors Wakefulness - drug effects |
| Title | Short-Term Response of Sleep-Potentiated Spiking to High-Dose Diazepam in Electric Status Epilepticus During Sleep |
| URI | https://www.clinicalkey.es/playcontent/1-s2.0-S0887899412000641 https://dx.doi.org/10.1016/j.pediatrneurol.2012.02.017 https://www.ncbi.nlm.nih.gov/pubmed/22520353 https://search.proquest.com/docview/1009131172 https://search.proquest.com/docview/1014110182 |
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