拉科沙胺可能改善局灶性癫痫患者的认知:比较拉科沙胺和卡马西平的认知副作用

Claudio Liguori , Francesca Izzi , Natalia Manfredi , Nicola Biagio Mercuri , Fabio Placidi
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引用次数: 18

摘要

卡马西平(CBZ)是第一代抗癫痫药物,被认为是局灶性癫痫的首选治疗药物,但与认知副作用有关。拉科沙胺(Lacosamide, LCM)是被批准用于治疗局灶性癫痫的第三代抗癫痫药物。本病例系列记录了LCM和CBZ作为治疗不受控制的局灶性癫痫患者的首选治疗方法的相当疗效。与CBZ相比,LCM在随访中显示出衡量认知能力的EpiTrack分数的增加。这一初步数据可能为未来前瞻性研究提供基础,旨在比较LCM和CBZ的长期认知副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Lacosamide may improve cognition in patients with focal epilepsy: EpiTrack to compare cognitive side effects of lacosamide and carbamazepine

Carbamazepine (CBZ) is a first generation anti-seizure drug, considered as first choice therapy in focal epilepsy but associated with cognitive side effects. Lacosamide (LCM) is a third-generation anti-seizure drug approved for treating focal epilepsy. This case series documented the comparable efficacy of LCM and CBZ as first add on treatments in patients affected by uncontrolled focal seizures. LCM showed an increase in EpiTrack scores, which measure cognitive abilities, at follow-up compared to CBZ. This preliminary data may represent the basis for future prospective studies aimed at comparing the long-term cognitive side effects of LCM and CBZ.

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