Evidence map›Paper›PMID 37995745›Full record

ArticleNeuropediatrics2024

Adolescent-Onset Epilepsy: Clinical Features and Predictive Factors for First-Year Seizure Freedom.

Jon Soo Kim, Hyewon Woo, Jae Hee Lee, Won Seop Kim

Open access · hybridAbstract read
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Article in Neuropediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Jon Soo KimDepartment of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea.ORCID 0000-0003-2586-1942
Hyewon WooDepartment of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Jae Hee LeeDepartment of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Won Seop KimDepartment of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Chungbuk National University Hospital · KRChungbuk National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeenagers with epilepsy require special attention to ensure a successful treatment journey. Our objective was to delineate the clinical characteristics of adolescent-onset epilepsy (AOE) and investigate the predictive factors influencing first-year seizure freedom.

methodsWe retrospectively analyzed the medical records of patients whose first seizure occurred between the ages of 10 and 19 years and who received antiseizure medication (ASM) treatment for at least 12 months.

resultsA total of 67 patients were included, with an average age of 13.5 ± 2.3 years at the onset of their first seizure. The average follow-up period was 45.2 ± 16.9 months, and comorbid conditions were present in 23 patients (34.3%). The majority of the patient population (83.6%) was affected by generalized epilepsy. The most common epilepsy syndrome was epilepsy with generalized tonic-clonic seizures alone at 70.1% (juvenile myoclonic epilepsy 11.9%, juvenile absence epilepsy 1.5%). Regarding ASM treatment, 31 patients (46.3%) received monotherapy, and 28 (41.8%) received dual therapy. Five patients (7.5%) encountered issues related to medication adherence. First-year seizure freedom was observed in 42 patients (62.7%). In multivariate analysis, a negative family history of epilepsy (odds ratio 12.1, 95% confidence interval 1.27-115.44,

conclusionThese findings suggest that AOE typically exhibits effective control of seizures. A negative family history of epilepsy and ASM monotherapy emerges as robust predictor of achieving favorable outcomes within the early stage of treatment.

Indexed as

Age of OnsetAnticonvulsantsSeizuresAdolescentChildEpilepsyFemaleFollow-Up StudiesHumansMaleRetrospective StudiesTreatment OutcomeYoung AdultAnticonvulsants

Identifiers

PMID37995745
PMCPMC11245328
OpenAlexW4388933569

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