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EFFICACY OF RUFINAMIDE IN THE TREATMENT OF DRUG-RESISTANT FOCAL EPILEPSIES IN PAEDIATRIC PRACTICE

https://doi.org/10.17650/2073-8803-2016-11-4-54-60

Abstract

Among drug-resistant epilepsies, epileptic syndromes, characterized by combination of several types of seizures, are considered to be the most difficult in terms of treatment. Lennox–Gastaut syndrome is one of them. It manifests with polymorphic seizures (tonic axial, myatonic, atypical absence seizures, status epilepticus of minor motor seizures, myoclonic, generalized convulsive, and focal seizures). This is a heterogeneous disease, represented by a complex of clinical and electroencephalographic manifestations with various etiology. Current review is devoted to a novel antiepileptic drug rufinamide, which has a new mechanism of action. The drug has been registered in Russia in 2015. The authors also describe their own experience of rufinamide usage in the treatment of drug-resistant focal epilepsy as a part of multicomponent therapy for polymorphic seizures. One patient achieved clinical remission for 16 months; the second one had more than 50 % decrease in seizures frequency with a remission of drop-attacks.

About the Authors

I. O. Shchederkina
Morozov Children’s City Clinical Hospital, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

1/9 4th Dobryninskiy Pereulok, Moscow 119049;

1 Ostrovityanova St., Moscow, 117997



K. A. Orlova
Morozov Children’s City Clinical Hospital, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

1/9 4th Dobryninskiy Pereulok, Moscow 119049;

1 Ostrovityanova St., Moscow, 117997



I. E. Koltunov
Morozov Children’s City Clinical Hospital, Moscow Healthcare Department; Peoples’ Friendship University of Russia
Russian Federation

1/9 4th Dobryninskiy Pereulok, Moscow 119049;

6 Miklukho-Maklaya St., Moscow 117198



M. Yu. Dorofeeva
Acad. Yu.E. Vel’tishchev Research Clinical Institute of Pediatrics, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
2 Taldomskaya St., Moscow 125412


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Review

For citations:


Shchederkina I.O., Orlova K.A., Koltunov I.E., Dorofeeva M.Yu. EFFICACY OF RUFINAMIDE IN THE TREATMENT OF DRUG-RESISTANT FOCAL EPILEPSIES IN PAEDIATRIC PRACTICE. Russian Journal of Child Neurology. 2016;11(4):54-60. (In Russ.) https://doi.org/10.17650/2073-8803-2016-11-4-54-60

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ISSN 2073-8803 (Print)
ISSN 2412-9178 (Online)