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Long-term safety of perampanel and seizure outcomes in refractory partial-onset seizures and secondarily generalized seizures: results from phase III extension study 307.在耐药性部分发作性癫痫和继发全面性发作中,吡仑帕奈的长期安全性和癫痫发作结局:来自 III 期扩展研究 307 的结果。
Epilepsia. 2014 Jul;55(7):1058-68. doi: 10.1111/epi.12643. Epub 2014 May 27.
2
A multicenter survey of clinical experiences with perampanel in real life in Germany and Austria.一项关于吡仑帕奈在德国和奥地利真实世界临床应用经验的多中心调查。
Epilepsy Res. 2014 Jul;108(5):986-8. doi: 10.1016/j.eplepsyres.2014.03.015. Epub 2014 Mar 27.
3
Perampanel for adjunctive treatment of partial-onset seizures: a pooled dose-response analysis of phase III studies.吡仑帕奈辅助治疗部分发作性癫痫的疗效:III 期研究的汇总剂量反应分析。
Epilepsia. 2014 Mar;55(3):423-31. doi: 10.1111/epi.12527. Epub 2014 Mar 7.
4
Perampanel: a selective AMPA antagonist for treating seizures.吡仑帕奈:一种用于治疗癫痫的选择性 AMPA 拮抗剂。
Epilepsy Curr. 2013 Nov;13(6):269-72. doi: 10.5698/1535-7597-13.6.269.
5
Effects of epilepsy treatments on sleep architecture and daytime sleepiness: an evidence-based review of objective sleep metrics.癫痫治疗对睡眠结构和日间嗜睡的影响:客观睡眠指标的循证综述。
Epilepsia. 2014 Jan;55(1):26-37. doi: 10.1111/epi.12478. Epub 2013 Dec 2.
6
Efficacy and safety of adjunctive perampanel for the treatment of refractory partial seizures: a pooled analysis of three phase III studies.附加性培米贝鲁治疗难治性部分性癫痫发作的疗效和安全性:三项 III 期研究的汇总分析。
Epilepsia. 2013 Aug;54(8):1481-9. doi: 10.1111/epi.12212. Epub 2013 May 10.
7
Clinical review: Sleep measurement in critical care patients: research and clinical implications.临床综述:重症监护患者的睡眠测量:研究与临床意义
Crit Care. 2007;11(4):226. doi: 10.1186/cc5966.
8
Sleep and epilepsy: what we know, don't know, and need to know.睡眠与癫痫:我们所知道的、不知道的以及需要知道的。
J Clin Neurophysiol. 2006 Feb;23(1):4-20. doi: 10.1097/01.wnp.0000206877.90232.cb.
9
Effects of antiepileptic drugs on sleep architecture: a pilot study.抗癫痫药物对睡眠结构的影响:一项初步研究。
Sleep Med. 2003 Jan;4(1):51-5. doi: 10.1016/s1389-9457(02)00217-4.
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Effects of antiepileptic drugs on sleep structure : are all drugs equal?抗癫痫药物对睡眠结构的影响:所有药物都一样吗?
CNS Drugs. 2003;17(10):719-28. doi: 10.2165/00023210-200317100-00003.

辅助性吡仑帕奈对癫痫患者睡眠质量和日间嗜睡的影响。

Effect of adjunctive perampanel on the quality of sleep and daytime somnolence in patients with epilepsy.

作者信息

González-Cuevas Montserrat, Romero Odile, Toledo Manuel, Quintana Manuel, Cambrodí Roser, Santamarina Estevo, Jurado Maria José, Ferrer Alex, Salas-Puig Xavier

机构信息

Epilepsy Unit, Neurology Department, Hospital Vall Hebron, Barcelona, Spain.

Sleep Unit, Neurophysiology Department, Hospital Vall Hebron, Barcelona, Spain.

出版信息

Epilepsy Behav Case Rep. 2016 Oct 21;7:13-15. doi: 10.1016/j.ebcr.2016.10.002. eCollection 2017.

DOI:10.1016/j.ebcr.2016.10.002
PMID:28066710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5200874/
Abstract

This prospective uncontrolled study evaluated the effect of low-dose adjunctive perampanel therapy (4 mg/day for 3 months) on the sleep-wake cycle and daytime somnolence in adult patients (n = 10) with focal seizures. A > 50% reduction in the number of seizures was reported in 80% of the study patients; treatment had no significant effect on any sleep parameters as evident by the Maintenance of Wakefulness Test, Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale scores. Two patients reported dizziness with treatment. In conclusion, low-dose perampanel may improve seizure control without affecting the sleep characteristics or daytime somnolence in patients with epilepsy.

摘要

这项前瞻性非对照研究评估了低剂量辅助吡仑帕奈治疗(4毫克/天,持续3个月)对10例局灶性癫痫成年患者睡眠-觉醒周期和日间嗜睡的影响。80%的研究患者报告癫痫发作次数减少超过50%;通过清醒维持测试、匹兹堡睡眠质量指数和爱泼华嗜睡量表评分可知,治疗对任何睡眠参数均无显著影响。两名患者报告治疗期间出现头晕。总之,低剂量吡仑帕奈可能改善癫痫控制,而不影响癫痫患者的睡眠特征或日间嗜睡情况。