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Is autism driven by epilepsy in infants with Tuberous Sclerosis Complex
R. Moavero, K. Kotulska, L. Lagae, A. Benvenuto, L. Emberti Gialloreti, B. Weschke, K. Riney, M. Feucht, P. Krsek, R. Nabbout, AC. Jansen, K. Wojdan, J. Borkowska, K. Sadowski, C. Hertzberg, MM. Van Schooneveld, S. Samueli, A. Maulisovà, E....
Language English Country United States
Document type Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't
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PubMed
32705817
DOI
10.1002/acn3.51128
Knihovny.cz E-resources
- MeSH
- Anticonvulsants administration & dosage MeSH
- Epilepsy complications drug therapy etiology MeSH
- Outcome Assessment, Health Care MeSH
- Infant MeSH
- Humans MeSH
- Follow-Up Studies MeSH
- Autism Spectrum Disorder etiology prevention & control MeSH
- Child, Preschool MeSH
- Tuberous Sclerosis complications MeSH
- Vigabatrin administration & dosage MeSH
- Developmental Disabilities etiology prevention & control MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Randomized Controlled Trial MeSH
OBJECTIVE: To evaluate the relationship between age at seizure onset and neurodevelopmental outcome at age 24 months in infants with TSC, as well as the effect on neurodevelopmental outcome of early versus conventional treatment of epileptic seizures with vigabatrin (80-150 mg/kg/day). METHODS: Infants with TSC, aged ≤4 months and without previous seizures were enrolled in a prospective study and closely followed with monthly video EEG and serial standardized neurodevelopmental testing (Bayley Scales of Infant Development and Autism Diagnostic Observation Schedule). RESULTS: Eighty infants were enrolled. At the age of 24 months testing identified risk of Autism Spectrum Disorder (ASD) in 24/80 children (30.0%), and developmental delay (DD) in 26/80 (32.5%). Children with epilepsy (51/80; 63.8%) had a higher risk of ASD (P = 0.02) and DD (P = 0.001). Overall, no child presented with moderate or severe DD at 24 months (developmental quotient < 55). In 20% of children abnormal developmental trajectories were detected before the onset of seizures. Furthermore, 21% of all children with risk of ASD at 24 months had not developed seizures at that timepoint. There was no significant difference between early and conventional treatment with respect to rate of risk of ASD (P = 0.8) or DD (P = 0.9) at 24 months. INTERPRETATION: This study confirms a relationship between epilepsy and risk of ASD/DD. However, in this combined randomized/open label study, early treatment with vigabatrin did not alter the risk of ASD or DD at age 2 years.
Brigham and Women's Hospital Harvard Medical School Boston MA 02115
Department of Child Neurology Brain Center University Medical Center Utrecht Utrecht The Netherlands
Department of Child Neurology Medical University of Warsaw Warsaw Poland
Department of Pediatrics Medical University Vienna Vienna Austria
Diagnose und Behandlungszentrum für Kinder und Jugendliche Vivantes Klinikum Neuköln Berlin Germany
Pediatric Neurology Unit UZ Brussel Brussels Belgium
School of Clinical Medicine University of Queensland St Lucia QLD 4072 Australia
Stichting Epilepsie Instellingen Nederland Heemstede The Netherlands
Transition Technologies ul Pawia 5 Warsaw 01 030 Poland
Warsaw University of Technology Institute of Heat Engineering Warsaw Poland
References provided by Crossref.org
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