Table 2.
Ref. | Year of publication | No. of patients | Drugs used before LEV | Outcome: Seizure | No. of patients with HIE | Seizure outcome in HIE patients | Dosage (loading) (mg/kg) | Dosage (maintenance) (mg/kg per day) | Remarks |
Shoemaker et al[4] | 2007 | 3 | PHB/MDZ/fPHT | All seizure free | 1 | Seizure controlled within 17 min of oral bolus | 60 (oral) | 30 | |
Fürwentsches et al[5] | 2010 | 6 | PHB | All seizure free in 6 d | 1 | Seizure free | NA | 10-50 | Prospective |
Ledet et al[6] | 2010 | 1 | PHB | Seizure free | 0 | NA | NA | 40 | |
Ramantani et al[7] | 2011 | 38 | NA | 30 seizure free at 1 wk | 9 | NA | 10 | 45-60 | Prospective |
Khan et al[8] | 2011 | 22 | PHB or PHT | 19 seizure cessation at 1 h and 22 seizure free by 72 h | 12 | 11 seizure cessation at 1 h | |||
Abend et al[9] | 2011 | 23 | PHB or PHT | 7 seizure terminated, 1 reduced seizure > 50%, 1 seizure terminated in > 24 h, 2 improvement in > 24 h, 8 no improvement, 1 unable to judge | 8 | 2 seizure terminated, 2 reduced seizures > 50%, 1 improvement in > 24 h, 2 no improvement, 1 unable to judge | 5-22 | 10-80 | LEV as first drug in 4 cases |
Aylward et al[10] | 2011 | 1 | fPHT | Partially responsive | 0 | NA | 20 | 19 | |
Sharpe et al[11] | 2012 | 18 | PHB | 6 seizure controlled | 8 | NA | 20-40 | 5-10 | |
Rakshasbhuvankar et al[12] | 2013 | 8 | PHB/PHT/MDZ | 6 "excellent", 1 partial, 1 ineffective | 5 | 4 "excellent", 1 "partial" | 5-10 | 10-35 | |
Khan et al[13] | 2013 | 12 | PHB | 9 seizure stopped in 24 h | 5 | 3 seizure stopped in 24 h, 1 no response, 1 NA | 25-50 | 50 | |
Kirmani[14] | 2014 | 12 | PHB | 10 seizure free by 72 h | 5 | NA | 25-50 | 25-50 |
PHB: Phenobarbitone; PHT: Phenytoin; MDZ: Midazolam; fPHT: Fosphenytoin; NA: Not available or applicable; HIE: Hypoxic ischemic encephalopathy; LEV: Levetiracetam.