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The frequency of reversible parkinsonism and cognitive decline associated with valproate treatment: a study of 364 patients with different types of epilepsy.

Identifieur interne : 000169 ( PubMed/Corpus ); précédent : 000168; suivant : 000170

The frequency of reversible parkinsonism and cognitive decline associated with valproate treatment: a study of 364 patients with different types of epilepsy.

Auteurs : Aleksandar. Risti ; Nikola Vojvodi ; Slavko Jankovi ; Aleksandra Sindeli ; Dragoslav Soki

Source :

RBID : pubmed:17201721

English descriptors

Abstract

We report the frequency of parkinsonism and cognitive decline (P/CD) in patients treated with valproate (VPA) after 1 year of treatment and at least 1 year of follow-up.

DOI: 10.1111/j.1528-1167.2006.00711.x
PubMed: 17201721

Links to Exploration step

pubmed:17201721

Le document en format XML

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<title xml:lang="en">The frequency of reversible parkinsonism and cognitive decline associated with valproate treatment: a study of 364 patients with different types of epilepsy.</title>
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<name sortKey="Risti, Aleksandar J" sort="Risti, Aleksandar J" uniqKey="Risti A" first="Aleksandar" last="Risti">Aleksandar. Risti</name>
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<nlm:affiliation>Institute of Neurology, Clinical Center of Serbia, Belgrade, Serbia.</nlm:affiliation>
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<name sortKey="Vojvodi, Nikola" sort="Vojvodi, Nikola" uniqKey="Vojvodi N" first="Nikola" last="Vojvodi">Nikola Vojvodi</name>
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<name sortKey="Jankovi, Slavko" sort="Jankovi, Slavko" uniqKey="Jankovi S" first="Slavko" last="Jankovi">Slavko Jankovi</name>
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<name sortKey="Sindeli, Aleksandra" sort="Sindeli, Aleksandra" uniqKey="Sindeli A" first="Aleksandra" last="Sindeli">Aleksandra Sindeli</name>
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<name sortKey="Soki, Dragoslav" sort="Soki, Dragoslav" uniqKey="Soki D" first="Dragoslav" last="Soki">Dragoslav Soki</name>
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<title level="j">Epilepsia</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Anticonvulsants (adverse effects)</term>
<term>Anticonvulsants (therapeutic use)</term>
<term>Cognition Disorders (chemically induced)</term>
<term>Cognition Disorders (epidemiology)</term>
<term>Drug Administration Schedule</term>
<term>Drug Therapy, Combination</term>
<term>Epilepsy (classification)</term>
<term>Epilepsy (diagnosis)</term>
<term>Epilepsy (drug therapy)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease, Secondary (chemically induced)</term>
<term>Parkinson Disease, Secondary (epidemiology)</term>
<term>Prevalence</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
<term>Valproic Acid (adverse effects)</term>
<term>Valproic Acid (therapeutic use)</term>
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<term>Anticonvulsants</term>
<term>Valproic Acid</term>
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<term>Anticonvulsants</term>
<term>Valproic Acid</term>
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<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en">
<term>Cognition Disorders</term>
<term>Parkinson Disease, Secondary</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Epilepsy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Epilepsy</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Epilepsy</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Cognition Disorders</term>
<term>Parkinson Disease, Secondary</term>
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<term>Follow-Up Studies</term>
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<term>Longitudinal Studies</term>
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<term>Severity of Illness Index</term>
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<front>
<div type="abstract" xml:lang="en">We report the frequency of parkinsonism and cognitive decline (P/CD) in patients treated with valproate (VPA) after 1 year of treatment and at least 1 year of follow-up.</div>
</front>
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<Year>2007</Year>
<Month>01</Month>
<Day>04</Day>
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<Volume>47</Volume>
<Issue>12</Issue>
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<Month>Dec</Month>
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<Title>Epilepsia</Title>
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<ArticleTitle>The frequency of reversible parkinsonism and cognitive decline associated with valproate treatment: a study of 364 patients with different types of epilepsy.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">We report the frequency of parkinsonism and cognitive decline (P/CD) in patients treated with valproate (VPA) after 1 year of treatment and at least 1 year of follow-up.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Three hundred sixty-four patients with various epileptic syndromes and seizure types were treated with VPA mono- or polytherapy for more than 1 year.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We found five cases of P/CD (1.37%; 95% CI, 0.18-2.56%). Among 140 patients with different adverse effects (AEs) of VPA, P/CD were among the rarest in frequency but significant in terms of drug discontinuation (five of 17).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Early identification of this type of AE and discontinuation of the drug led to complete recovery in affected patients.</AbstractText>
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