Bloch Joakim, Miranda Maria J
Ugeskr Laeger. 2017 Mar 27;179(13).
Until now, ethosuximide (ESM), sodium valproate (VPA) and lamotrigine have been considered the drugs of choice in the management of childhood absence epilepsy, and there has been no high-validated evidence to distinguish their effects. New research shows, however, that while VPA and ESM are equally effective, ESM is the best tolerated of the two drugs, when considering cognitive adverse effects. This is of major importance, as cognitive comorbidities can be dire in childhood absence epilepsy, possibly affecting the psychosocial prognosis of the patients. More research is needed in this area.
到目前为止,乙琥胺(ESM)、丙戊酸钠(VPA)和拉莫三嗪一直被视为治疗儿童失神癫痫的首选药物,并且尚无经过高度验证的证据来区分它们的疗效。然而,新的研究表明,虽然VPA和ESM同样有效,但在考虑认知不良反应时,ESM是这两种药物中耐受性最好的。这一点至关重要,因为在儿童失神癫痫中,认知合并症可能很严重,可能会影响患者的心理社会预后。这一领域还需要更多的研究。