Document Detail


Purine seizure disorders.
MedLine Citation:
PMID:  3698938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Developing antiepileptic agents that are specifically tailored to a patient's individual biochemistry has long been a goal of neurology. Three patients who had hyperuricosuria combined with a seizure disorder that failed to respond to traditional anticonvulsants are described. The patients had the best control of their seizure disorder when a specific metabolic drug, allopurinol, was used as an anticonvulsant. All three patients had onset of the seizure disorder at 22 months of age, a finding possibly related to maturation of purine enzymes. Because elevated uric acid levels in the immediate postictal period may occur in seizure patients, the presence of an elevated uric acid clearance in seizure-free periods is needed to consider the diagnosis of an allopurinol-responsive seizure problem in any individual patient. In the two patients past the onset of puberty, lowering (one case) and cessation (other case) of the dose of allopurinol has been possible.
Authors:
M Coleman; M Landgrebe; A Landgrebe
Related Documents :
17980738 - Oculoleptomeningeal amyloidosis in a patient with a ttr val30gly mutation in the transt...
8035628 - Vascular malformations and intractable epilepsy: outcome after surgical treatment.
1543348 - Occipital lobe epilepsy: clinical characteristics, seizure spread patterns, and results...
18370888 - The end-of-life hospital setting in patients with glioblastoma.
18253688 - Cerebral lateral ventricular asymmetry on ct: how much asymmetry is representing pathol...
20458438 - Oral vitamin k effectively treats international normalised ratio (inr) values in excess...
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Epilepsia     Volume:  27     ISSN:  0013-9580     ISO Abbreviation:  Epilepsia     Publication Date:    1986 May-Jun
Date Detail:
Created Date:  1986-06-24     Completed Date:  1986-06-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2983306R     Medline TA:  Epilepsia     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  263-9     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Allopurinol / therapeutic use
Child
Epilepsy / etiology,  metabolism*
Humans
Male
Purines / metabolism*
Uric Acid / metabolism
Chemical
Reg. No./Substance:
0/Purines; 315-30-0/Allopurinol; 69-93-2/Uric Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Acute effects of lamotrigine (BW430C) in persons with epilepsy.
Next Document:  Cerebral arteriovenous malformations and epilepsy: factors in the development of epilepsy.