Movement Disorders (revue)

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An open trial of levetiracetam for segmental and generalized dystonia.

Identifieur interne : 001C95 ( Ncbi/Curation ); précédent : 001C94; suivant : 001C96

An open trial of levetiracetam for segmental and generalized dystonia.

Auteurs : Sascha Hering [Autriche] ; Gregor K. Wenning ; Klaus Seppi ; Werner Poewe [Autriche] ; Joerg Mueller

Source :

RBID : pubmed:17557353

English descriptors

Abstract

Local botulinum toxin injections represent the treatment of choice for most patients with focal dystonia. However, patients with segmental or generalized forms require additional pharmacologic treatment which is often ineffective or limited by intolerable side-effects. An animal study and three case reports suggested antidystonic effects of levetiracetam, a pyrrolidone derivate, whereas a recent open-label study found no improvement in 10 patients with primary idiopathic cervical dystonia. We studied the efficacy of levetiracetam in a daily dose of 3000 mg in 10 consecutive patients with otherwise therapy refractory segmental or generalized dystonia. At 4-week follow-up, none of the patients showed improvement of dystonia, mild side-effects were observed in 3 patients.

DOI: 10.1002/mds.21597
PubMed: 17557353

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Le document en format XML

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<nlm:affiliation>Department of Neurology, Medical University Innsbruck, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<div type="abstract" xml:lang="en">Local botulinum toxin injections represent the treatment of choice for most patients with focal dystonia. However, patients with segmental or generalized forms require additional pharmacologic treatment which is often ineffective or limited by intolerable side-effects. An animal study and three case reports suggested antidystonic effects of levetiracetam, a pyrrolidone derivate, whereas a recent open-label study found no improvement in 10 patients with primary idiopathic cervical dystonia. We studied the efficacy of levetiracetam in a daily dose of 3000 mg in 10 consecutive patients with otherwise therapy refractory segmental or generalized dystonia. At 4-week follow-up, none of the patients showed improvement of dystonia, mild side-effects were observed in 3 patients.</div>
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