Predictors of pharmacoresistance in adults with epilepsy

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Abstract

Six hundred ninety-six patients with epilepsy were examined. Clinical and neurological examinations, routine EEG and/or video-EEG monitoring, MRI and/or CT of the brain, and laboratory tests were performed. Antiepileptic pharmacotherapy was either prescribed for the first time or corrected if it was prescribed before. Factors associated with pharmacoresistance were analyzed, such as: onset in infancy or early childhood, high frequency of seizures, failures in the previous pharmacotherapy, diffuse epileptiform activity or abnormal background activity according to EEG, progressive brain lesion etc. According to the obtained data, only non-compliance (r=0.31; p<0.001) and high frequency of seizures (r=0.31; p<0.001) were significant predictors of pharmacoresistance. Routine EEG and MRI are not informative enough for prediction of pharmacoresistance of epilepsy. Accurate patient examination and identification of a certain epileptic syndrome are necessary for correct prognosis of pharmacoresistance.

 

About the authors

A. S. Kotov

M.F. Vladimirsky Moscow Regional Research Clinical Institute

Author for correspondence.
Email: alex-013@yandex.ru
Russian Federation, Moscow

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