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[褪黑素与癫痫]

[Melatonin and epilepsy].

作者信息

Rufo-Campos M

机构信息

Hospital Universitario Virgen del Rocio, Sevilla, España.

出版信息

Rev Neurol. 2002 Sep;35 Suppl 1:S51-8.

PMID:12373656
Abstract

OBJECTIVE

This review has been prepared in response to the increasing interest shown in understanding the part played by melatonin in the body, which has led to the search for new uses of it in cerebral disorders, such as sleep disorders including insomnia, irritability, depression, behaviour disorders and even the treatment of autism, since sleep disorders also occur in this condition. We pay particular attention to studies involving epilepsy.

DEVELOPMENT

We show that interest in melatonin is rapidly increasing and new discoveries are being made of the part it plays in the biological regulation of circadian rhythm, sleep, mood, ageing, tumour growth and reproduction. Perhaps these processes between them have led to its use in the treatment of many current problems such as neuroprotection, migraine and the control of epileptic seizures.

CONCLUSIONS

It has been shown that in both children and adults melatonin is of low toxicity and may be used in high risk persons. In this paper we make a careful analysis of recent publications in the medical literature dealing with the use of melatonin in the control of epileptic seizures and discuss its advantages and disadvantages. However, as with other types of treatment, further study, both experimental and otherwise, is necessary for confirmation.

摘要

目的

撰写本综述是为了回应人们对了解褪黑素在人体中所起作用的兴趣日益浓厚的情况。这引发了人们探索其在脑部疾病中的新用途,比如在包括失眠、易怒、抑郁、行为障碍等睡眠障碍,甚至在自闭症治疗中的应用,因为自闭症也会出现睡眠障碍。我们特别关注涉及癫痫的研究。

进展

我们发现对褪黑素的兴趣正在迅速增长,并且在其在昼夜节律、睡眠、情绪、衰老、肿瘤生长和生殖的生物调节中所起的作用方面有了新的发现。或许正是这些过程促使其被用于治疗许多当前的问题,如神经保护、偏头痛和癫痫发作的控制。

结论

已表明无论是儿童还是成人,褪黑素的毒性都很低,可用于高危人群。在本文中,我们仔细分析了医学文献中近期有关褪黑素用于控制癫痫发作的出版物,并讨论了其优缺点。然而,与其他类型的治疗一样,需要进一步的实验研究及其他研究来加以证实。

相似文献

1
[Melatonin and epilepsy].[褪黑素与癫痫]
Rev Neurol. 2002 Sep;35 Suppl 1:S51-8.
2
Sleep disorders, epilepsy, and autism.睡眠障碍、癫痫和自闭症。
Ment Retard Dev Disabil Res Rev. 2004;10(2):122-5. doi: 10.1002/mrdd.20023.
3
Melatonin in wake-sleep disorders in children, adolescents and young adults with mental retardation with or without epilepsy: a double-blind, cross-over, placebo-controlled trial.褪黑素在伴或不伴癫痫的智力障碍儿童、青少年及青年成人睡眠-觉醒障碍中的应用:一项双盲、交叉、安慰剂对照试验。
Brain Dev. 2004 Sep;26(6):373-6. doi: 10.1016/S0387-7604(03)00197-9.
4
Melatonin and sleep-related problems in children with intractable epilepsy.儿童难治性癫痫与褪黑素和睡眠相关问题。
Pediatr Neurol. 2010 Apr;42(4):249-54. doi: 10.1016/j.pediatrneurol.2009.11.002.
5
[Effect of melatonin on intractable epilepsies].[褪黑素对难治性癫痫的作用]
Orv Hetil. 2004 Dec 19;145(51):2583-7.
6
Melatonin, sleep, and circadian rhythms.褪黑素、睡眠与昼夜节律。
Sleep Med Rev. 2005 Feb;9(1):5-9. doi: 10.1016/j.smrv.2004.11.004.
7
The use of melatonin: an information paper.褪黑素的使用:一份资料文件。
Aviat Space Environ Med. 2000 Mar;71(3):238-44.
8
Sleep and epilepsy in children and adolescents.儿童和青少年的睡眠与癫痫。
Sleep Med. 2010 Aug;11(7):674-85. doi: 10.1016/j.sleep.2010.01.012.
9
The circadian rhythm in adult attention-deficit/hyperactivity disorder: current state of affairs.成人注意缺陷多动障碍的昼夜节律:现状。
Expert Rev Neurother. 2013 Oct;13(10):1107-16. doi: 10.1586/14737175.2013.836301.
10
[Melatonin, synthetic analogs, and the sleep/wake rhythm].[褪黑素、合成类似物与睡眠/觉醒节律]
Rev Neurol. 2009;48(5):245-54.

引用本文的文献

1
Does melatonin affect epileptic seizures?褪黑素会影响癫痫发作吗?
Drug Saf. 2013 Apr;36(4):207-15. doi: 10.1007/s40264-013-0033-y.
2
Melatonin in children with autistic spectrum disorders: recent and practical data.自闭症谱系障碍儿童的褪黑素:最新实用数据。
Eur Child Adolesc Psychiatry. 2011 May;20(5):231-9. doi: 10.1007/s00787-011-0162-8. Epub 2011 Feb 26.