Table 2.
Case | Age (years) | Sex | Time (weeks) | Dose (mg) | Seizure | EEG | Response |
---|---|---|---|---|---|---|---|
1 | 23 | F | 23 | 600 | Myoclonus | Spike and slow wave, theta | None |
52 | 600 | Few myoclonic seizures | Spike, theta, delta | Start LTG 200 mg | |||
104 | 600 | Slow wave | LTG 200 mg | ||||
130 | 600 | None Tonic–clonic |
Theta | Increase to LTG 300 mg, decrease to clozapine 550 mg | |||
>130 | 550 | None |
None | LTG 300 mg | |||
2 | 19 | F | 18 | 350 | Myoclonus | Spike and slow wave, theta | None |
24 | 500 | None | Spike and slow wave, theta | None | |||
36 | 500 | Few myoclonic seizures | Start LTG 200 mg | ||||
56 | 550 | None |
Spike and slow wave, theta | Decrease to LTG 150 mg | |||
3 | 48 | F | 9 | 400 | Myoclonus | Slow wave, spike and slow wave | None |
12 | 350 | Myoclonus | Slow wave | Decrease to clozapine 300 mg | |||
26 | 300 | None | Infrequent slow wave | None | |||
4 | 24 | F | 8 | 300 | Myoclonus | Spike and slow wave, delta | Start VPA 400 mg and increase to VPA 600 mg |
9 | 300 | Myoclonus | Slow wave | VPA 600 mg | |||
12 | 300 | Infrequent myoclonus None |
Slow wave | VPA 600 mg, decrease to clozapine 200 mg | |||
15 | 200 | None | Infrequent slow wave | Decrease to VPA 400 mg | |||
23 | 200 | None | VPA 400 mg | ||||
5 | 22 | F | 8 | 300 | Tonic–clonic | Spike and slow wave, theta | Start VPA 400 mg and increase to VPA 600 mg |
>8 | 300 | None | Theta | Increase to clozapine 400 mg | |||
18 | 400 | Partial seizure | Theta | Increase to VPA 800 mg | |||
>18 | 400 | None | None | VPA 800 mg | |||
6 | 25 | F | 4 | 250 | None | Theta | None |
8 | 350 | Myoclonus | Slow wave, spike and slow wave | Decrease to clozapine 275 mg | |||
14 | 275 | Myoclonus | Spike and slow wave, delta | Start VPA 600 mg | |||
15 | 275 | Few and frequent myoclonic seizures | Spike and slow wave, delta | Increase to VPA 800 mg | |||
>15 | 275 | None | None | VPA 800 mg | |||
7 | 22 | F | 8 | 200 | None | Spike and slow wave | None |
52 | 300 | None | Few frequent theta | None | |||
8 | 37 | F | 52 | 325 | None | Spike and slow wave, theta | None |
104 | 325 | None | Spike and slow wave, theta, delta | None | |||
9 | 22 | F | 8 | 200 | None | Spike and slow wave | None |
34 | 300 | None | Infrequent spike and slow wave | None | |||
10 | 17 | F | 8 | 125 | None | Many theta waves | None |
52 | 300 | None | Spike and slow wave | None |
Abbreviations: EEG, electroencephalography; F, female; LTG, lamotrigine; VPA, valproate.