Problems of Practical Pediatrics
Novel methods of treatment of pharmacoresistant symptomatic neonatal seizures
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Volodin N.N.
V.A.Engelgardt Institute of Molecular Biology, Russian Academy of Sciences
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n
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Russian State Medical University, Department of Neonatology of Doctors Improvement Faculty, Moscow (Head of the Department – Acad. RAMS, Prof. N.N.Volodin)
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Russian State Medical University, Moscow
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N.I.Pirogov Russian National Research Medical University, Moscow
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Dmitri Rogachev Federal Scientific and Clinical Center of Pediatric Hematology, Oncology and Immunology, Ministry of Public Health and Social Development of the Russian Federation, Moscow
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Medvedev M.I.
Russian State Medical University, Moscow
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Rogatkin S.O.
Russian State Medical University, Department of Neonatology of Doctors Improvement Faculty, Moscow (Head of the Department – Acad. RAMS, Prof. N.N.Volodin)
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Russian State Medical University, Department of Neonatology of Doctors Improvement Faculty, Moscow (Head of the Department – Acad. RAMS, Prof. N.N.Volodin)
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Russian State Medical University, Moscow
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Geras’kina V.P.
Russian State Medical University, Moscow
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Gorbunov A.V.
Russian State Medical University, Moscow
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Degtyareva M.G.
Russian State Medical University, Moscow
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N.I.Pirogov Russian National Research Medical University, Moscow
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Mileva O.I.
Municipal Hospital No 8, Moscow City Department of Public Health
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Research Laboratory of Experimental and Clinical Otolaryngology of Childhood, Moscow
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Russian State Medical University, Moscow
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Kyshtymov M.V.
N.F.Filatov Municipal Children’s Clinical Hospital No 13, Moscow
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Children’s Clinical Hospital No 13, Moscow
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Morozova E.N.
Municipal Hospital No 8, Moscow City Department of Public Health
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Moscow Municipal Hospital No 8, Moscow
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Potapova O.V.
Municipal Hospital No 8, Moscow City Department of Public Health
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Moscow Municipal Hospital No 8, Moscow
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Russian State Medical University, Moscow
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Grebennikova O.V.
Russian State Medical University, Moscow
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Voronov V.V.
Municipal Hospital No 8, Moscow City Department of Public Health
In 24 neonates, in phenobarbital resistant neonatal seizures valproic acid (Convulex) was used in drops for oral intake. Practically in all patients pharmacoresistance of seizures was associated with early organic changes in the brain detected by neurovisualization (neurosonography, computed tomography and magnetic resonance imaging). A positive effect of treatment (coping with convulsions or their less frequent occurrence by more than 50%) was observed in 19 (79%), an insufficient effect in 5 patients (21%). Along with clinical improvement, a positive dynamics of the indices of electroencephalogram was observed. During the intake of convulex no case of serious side effects were recorded. Therefore, a sufficiently high efficacy of valproic acid (Convulex) is demonstrated for treatment of symptomatic neonatal seizures pharmacoresistant to barbiturates, which permits to recommend this drug for treatment in the neonate.
Problems of Practical Pediatrics 2008; 3 (1): 48-51.