Yıl: 2019 Cilt: 25 Sayı: 1 Sayfa Aralığı: 40 - 44 Metin Dili: Türkçe DOI: 10.14744/epilepsi.2018.30092 İndeks Tarihi: 01-11-2019

Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu

Öz:
Frontotemporal lob dejenerasyonu sendromlarında nöbetler hem klinik fenotip hem de nöropatolojiye göre heterojen bir grup bozukluğu kapsamaktadır. Her ne kadar frontotemporal lob dejenerasyonu sendromlarında elektroensefalografi anormal olsa da, epileptik nöbetler nadiren rapor edilmiştir. Demans patogenezinin daha iyi anlaşılması, epileptogenezin mekanizmalarına ışık tutabilir ve nöbet tedavisine daha rasyonel yaklaşımları kolaylaştırabilir. Demans sendromlarında nöbetlerin tedavisi halen ampiriktir. Epilepsia parsiyalis kontinua “devamlı olan” bir nöbet tipi olarak 2001 ILAE sınıflamasında yer almaktadır. 2017 ILAE sınıflamasına göre hastamızın nöbeti fokal başlangıçlı, bilincin korunduğu, fokal motor klonik nöbet olarak tanımlanmıştır. Yeni başlayan Epilepsia parsiyalis kontinua progresif hastalığın genelde kötü habercisidir. Ayrıca altta yatan sebebe bakılmaksızın kombine yüksek doz antiepileptiklere yanıt vermemesi Epilepsia parsiyalis kontinuanın kötü prognostik özelliğidir.
Anahtar Kelime:

Konular: Klinik Nöroloji Nörolojik Bilimler

A Case of Frontotemporal Dementia with Epilepsia Partialis Continua Responding to Lacosamide Treatment

Öz:
Seizures may occur in frontotemporal lobar degeneration syndromes as an element of a heterogeneous group of disorders, according to both clinical phenotype and neuropathology. Although electroencephalography results are abnormal in frontotemporal lobar degeneration syndromes, epileptic seizures are rarely reported. A better understanding of the pathogenesis of dementia may shed light on the mechanisms of epileptogenesis and may facilitate more rational approaches to seizure treatment. The treatment of seizures in dementia syndromes is still empiric. Epilepsia partialis continua (EPC) is included in the 2001 International League Against Epilepsy (ILAE) classification as a continuous type of seizure. According to the 2017 ILAE classification, the present patient’s seizure was defined as a focal onset, preserved consciousness, focal motor, clonic seizure. The onset of epilepsia partialis continua is usually a bad predictor of progressive disease. Furthermore, there is often a failure to respond to combined high dose antiepileptics, regardless of the underlying cause.
Anahtar Kelime:

Konular: Klinik Nöroloji Nörolojik Bilimler
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • Graff-Radford NR, Woodruff BK. Frontotemporal dementia. Semin Neurol 2007;27(1):48–57.
  • Neary D, Snowden JS, Gustafson L, Passant U, Stuss D, Black S, et al. Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology 1998;51(6):1546–54.
  • McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 1984;34(7):939–44.
  • Mackenzie IR, Neumann M, Bigio EH, Cairns NJ, Alafuzoff I, Kril J, et al. Nomenclature for neuropathologic subtypes of frontotemporal lobar degeneration: consensus recommendations. ActaNeuropathol 2009;117(1):15–8.
  • Cairns NJ, Bigio EH, Mackenzie IR, Neumann M, Lee VM, Hatanpaa KJ, et al; Consortium for Frontotemporal Lobar Degeneration. Neuropathologic diagnostic and nosologic criteria for frontotemporal lobar degeneration: consensus of the Consortium for Frontotemporal Lobar Degeneration. Acta Neuropathol 2007;114(1):5–22.
  • Chan D, Walters RJ, Sampson EL, Schott JM, Smith SJ, Rossor MN. EEG abnormalities in frontotemporal lobar degeneration. Neurology 2004;62(9):1628–30.
  • Leys D, Bandu L, Hénon H, Lucas C, Mounier-Vehier F, Rondepierre P, et al. Clinical outcome in 287 consecutive young adults (15 to 45 years) with ischemic stroke. Neurology 2002;59(1):26–33.
  • Larner AJ. Epileptic seizures in neurodegenerative dementia syndromes. Journal of neurology and neuroscience 2010;1(1):3.
  • Vercueil L. Epilepsy and neurodegenerative diseases in adults: a clinical review. Epileptic Disord 2006;8(S1):S44-54.
  • Sillantini MG, Van Swieten JC, Goedert M. Tau gene mutations in frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). Neurogenetics 2000;2(4):193–205.
  • Thomas JE, Reagan TJ, Klass DW. Epilepsia partialis continua. A review of 32 cases. ArchNeurol 1977;34(5):266–75.
  • Obeso JA, Rothwell JC, Marsden CD. The spectrum of cortical myoclonus. From focal reflex jerks to spontaneous motor epilepsy. Brain 1985;108(Pt 1):193–224.
  • Cockerell OC, Rothwell J, Thompson PD, Marsden CD, Shorvon SD. Clinical and physiological features of epilepsia partialis continua. Cases ascertained in the UK. Brain 1996;119(Pt 2):393–407.
  • Engel J Jr; International League Against Epilepsy (ILAE). A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: report of the ILAE Task Force on Classification and Terminology. Epilepsia 2001;42(6):796–803.
  • Fisher RS, Cross JH, D’Souza C, French JA, Haut SR, Higurashi N, et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsia 2017;58(4):531–42.
  • Bien CG, ChristianE. Epilepsia partialis continua: semiology and differential diagnoses. Epileptic Disord 2008;10(1):3–7.
  • Kato Y, Nakazato Y, Tamura N, Tomioka R, Takahashi Y, Shimazu K. Autoimmune encephalitis with anti-glutamate receptor antibody presenting as epilepsia partialis continua and action myoclonus: a case report [Article in Japanese]. Rinsho Shinkeigaku 2007;47(7):429–33.
  • Shahar E, Kramer U, Nass D, Savitzki D. Epilepsia partialis continua associated with widespread gliomatosis cerebri. Pediatr Neurol 2002;27(5):392–6.
  • Bartolomei F, Gavaret M, Dhiver C, Gastaut JA, Gambarelli D, Figarell-Branger D, et al. Isolated, chronic, epilepsia partialis continua in an HIV-infected patient. Arch Neurol 1999;56(1):111–4.
  • Lee K, Haight E, Olejniczak P. Epilepsia partialis continua in Creutzfeldt-Jakob disease. Acta Neurol Scand 2000;102(6):398– 402.
  • Lamarche M, Chauvel P. Movement epilepsy in the monkey with an experimental motor focus. Electroencephalogr Clin Neurophysiol Suppl 1978;(34):323–8.
  • Chauvel P, Trottier S, Vignal JP, Bancaud J. Somatomotor seizures of frontal lobe origin. AdvNeurol 1992;57:185–232.
  • Mazarati AM, Wasterlain CG. Blockers of NMDA receptor restore paired-pulse inhibition in the rat dentate gyrus lesioned by perforant path stimulation. Neurosci Lett 1997;234(2-3):135–8.
  • Waxman EA, Lynch DR. N-methyl-D-aspartate receptor subtypes: multiple roles in excitotoxicity and neurological disease. Neuroscientist 2005;11(1):37–49.
  • Naus CC, Bechberger JF, Paul DL. Gap junction gene expression in human seizure disorder. Exp Neurol 1991;111(2):198–203.
  • Doty P, Hebert D, Mathy FX, Byrnes W, Zackheim J, Simontacchi K. Development of lacosamide for the treatment of partial-onset seizures. Ann NY Acad Sci 2013;1291:56–68.
  • Kelemen A, Halász P. Lacosamide for the prevention of partial onset seizures in epileptic adults. Neuropsychiatr Dis Treat 2010;6:465–71.
  • Errington AC, Stöhr T, Heers C, Lees G. The investigational anticonvulsant lacosamide selectively enhances slow inactivation of voltage-gated sodium channels. Mol Pharmacol 2008;73(1):157-69.
  • Helmstaedter C, Witt JA. The longer-term cognitive effects of adjunctive antiepileptic treatment with lacosamide in comparison with lamotrigine and topiramate in a naturalistic outpatient setting. Epilepsy Behav 2013;26(2):182–7.
  • Lancman ME, Fertig EJ, Trobliger RW, Perrine K, Myers L, Iyengar SS, et al. The effects of lacosamide on cognition, quality-of-life measures, and quality of life in patients with refractory partial epilepsy. Epilepsy Behav 2016;61:27–33.
  • Meador KJ, Loring DW, Boyd A, Echauz J, LaRoche S, Velez-Ruiz N, et al. Randomized double-blind comparison of cognitive and EEG effects of lacosamide and carbamazepine. Epilepsy Behav 2016;62:267–75.
  • IJff DM, van Veenendaal TM, Majoie HJ, de Louw AJ, Jansen JF, Aldenkamp AP. Cognitive effects of lacosamide as adjunctive therapy in refractory epilepsy. Acta Neurol Scand 2015;131(6):347–54.
APA DİNÇ Y, ÇELİK AKDAĞ G (2019). Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. , 40 - 44. 10.14744/epilepsi.2018.30092
Chicago DİNÇ Yasemin,ÇELİK AKDAĞ Gönül Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. (2019): 40 - 44. 10.14744/epilepsi.2018.30092
MLA DİNÇ Yasemin,ÇELİK AKDAĞ Gönül Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. , 2019, ss.40 - 44. 10.14744/epilepsi.2018.30092
AMA DİNÇ Y,ÇELİK AKDAĞ G Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. . 2019; 40 - 44. 10.14744/epilepsi.2018.30092
Vancouver DİNÇ Y,ÇELİK AKDAĞ G Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. . 2019; 40 - 44. 10.14744/epilepsi.2018.30092
IEEE DİNÇ Y,ÇELİK AKDAĞ G "Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu." , ss.40 - 44, 2019. 10.14744/epilepsi.2018.30092
ISNAD DİNÇ, Yasemin - ÇELİK AKDAĞ, Gönül. "Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu". (2019), 40-44. https://doi.org/10.14744/epilepsi.2018.30092
APA DİNÇ Y, ÇELİK AKDAĞ G (2019). Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. Epilepsi, 25(1), 40 - 44. 10.14744/epilepsi.2018.30092
Chicago DİNÇ Yasemin,ÇELİK AKDAĞ Gönül Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. Epilepsi 25, no.1 (2019): 40 - 44. 10.14744/epilepsi.2018.30092
MLA DİNÇ Yasemin,ÇELİK AKDAĞ Gönül Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. Epilepsi, vol.25, no.1, 2019, ss.40 - 44. 10.14744/epilepsi.2018.30092
AMA DİNÇ Y,ÇELİK AKDAĞ G Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. Epilepsi. 2019; 25(1): 40 - 44. 10.14744/epilepsi.2018.30092
Vancouver DİNÇ Y,ÇELİK AKDAĞ G Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu. Epilepsi. 2019; 25(1): 40 - 44. 10.14744/epilepsi.2018.30092
IEEE DİNÇ Y,ÇELİK AKDAĞ G "Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu." Epilepsi, 25, ss.40 - 44, 2019. 10.14744/epilepsi.2018.30092
ISNAD DİNÇ, Yasemin - ÇELİK AKDAĞ, Gönül. "Lakozamid Tedavisine Yanıtlı Frontotemporal Demansa Bağlı Epilepsia Parsiyalis Kontinua Olgusu". Epilepsi 25/1 (2019), 40-44. https://doi.org/10.14744/epilepsi.2018.30092