Table 2.
Included patients | |||
---|---|---|---|
Patient #1 | Patient #2 | Patient #3 | |
Maintenance dose | Medium | High | High |
Underlying cause of ISS | MCD | Unknown | Unknown MCD found after the study |
Previous AED | VPA, LTG, LVT | ||
AED at inclusion | VPA 26 mg/kg/d, LTG 1.7 mg/kg/d, VGB 130 mg/kg/d, Prednisolone 10 mg/d | VGB 130 mg/kg/d prednisolone 10 mg/d | VGB 146 mg/kg/d prednisolone 20 mg/d |
Clinical responder | Y | N | N |
Electroclinical responder | Y | N | N |
Time to cessation of spasms for clinical responders (days) | 6 | NA | NA |
Interictal EEG at Baseline | Slow waves | Hypsarrhythmia | Fragmented |
Right fast rhythm | Post Spikes | Hypsarrhythmia | |
L Temp Spikes | |||
Interictal EEG at the end of the maintenance period | No change | No change | No change |
Extended clinical responder | Y | NA | NA |
Extended electroclinical responder | Y | NA | NA |
Clinical relapse | N | NA | NA |
Clinical worsening with radiprodil withdraw | NA | Y | Y |
Last follow‐up | |||
Time after inclusion | M11 | M10 | M10 |
Clinical follow‐up | Spasm‐free | Spasms‐free | Spasms‐free |
AEDs | VPA, LTG | FLB, KD | VPA, LTG, FLB, KD Surgery |
AED, antiepileptic drug; FLB, felbamate; KD, ketogenic diet; LTG, lamotrigine; LVT, levetiracetam; MCD, Malformation of cortical development; N, No; NA, not applicable; VGB, vigabatrin; VPA, valproate; Y, Yes.