Document Detail


Anthropometric indexes, insulin resistance, and serum leptin and lipid levels in women with cryptogenic epilepsy receiving topiramate treatment.
MedLine Citation:
PMID:  20598547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We aimed to investigate the effects of topiramate monotherapy on anthropometric indexes, insulin resistance, and serum leptin and lipid levels in 33 premenopausal women (mean age+/-standard deviation: 26.7+/-7.1years) with cryptogenic epilepsy. Body mass index (BMI), waist circumference and serum leptin, insulin and lipid levels were measured at baseline and at 6months after initiation of topiramate. We found reductions in BMI (p<0.001), waist circumference (p<0.001) and serum high-density lipoprotein (HDL) cholesterol levels (p=0.011). We also found significant improvements in insulin resistance (p=0.023), but not in serum leptin levels (p=0.45). Our results suggest that topiramate treatment in women with epilepsy is associated with reduced BMI and waist circumference and improvement in insulin resistance; however, according to our data, topiramate treatment is also associated with lower HDL cholesterol levels, which may substantially increase vascular disease.
Authors:
Bulent Oguz Genc; Ebru Apaydi Dogan; Umuttan Dogan; Emine Genc
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Publication Detail:
Type:  Journal Article     Date:  2010-07-02
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  17     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  1256-9     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurology, Meram School of Medicine, Selcuk University, Ana Bilim Dali, Meram-Konya 42080, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anthropometry / methods
Anticonvulsants / therapeutic use*
Body Mass Index
Body Weight / drug effects
Enzyme-Linked Immunosorbent Assay / methods
Epilepsy* / blood,  drug therapy,  physiopathology
Female
Fructose / analogs & derivatives*,  therapeutic use
Humans
Insulin Resistance / physiology*
Leptin / blood*
Lipid Metabolism / drug effects*
Young Adult
Chemical
Reg. No./Substance:
0/Anticonvulsants; 0/Leptin; 30237-26-4/Fructose; 97240-79-4/topiramate

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