Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy

Epilepsy is one of the most prevalent chronic neurological diseases, affecting about 70 million people worldwide. Patients with epilepsy often encounter cognitive dysfunction, which is influenced by different factors including age at the onset of epilepsy, etiology of epilepsy, type of seizures,...

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Main Authors: Jelena Šarić Jurić, Stjepan Jurić, Ivana Marković, Petra Jurić, Ivana Jurić
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2021-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/412780
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author Jelena Šarić Jurić
Stjepan Jurić
Ivana Marković
Petra Jurić
Ivana Jurić
author_facet Jelena Šarić Jurić
Stjepan Jurić
Ivana Marković
Petra Jurić
Ivana Jurić
author_sort Jelena Šarić Jurić
collection DOAJ
description Epilepsy is one of the most prevalent chronic neurological diseases, affecting about 70 million people worldwide. Patients with epilepsy often encounter cognitive dysfunction, which is influenced by different factors including age at the onset of epilepsy, etiology of epilepsy, type of seizures, seizure frequency and duration, psychiatric comorbidity, and antiepileptic drug (AED) therapy. Event-related potentials are useful, noninvasive, objective clinical and research instrument for evaluation of cognitive functions in patients. The aim of this study was to investigate and determine the effect of AED monotherapy and polytherapy on cognitive changes in patients with epilepsy, detected with P300 event-related potentials and compared with age- and gender-matched healthy individuals. The study was conducted in 82 patients with generalized and focal epilepsy and 82 healthy individuals aged 18-65 years. Cognitive evoked P300 potentials were recorded in all study subjects using auditory ‘oddball’ paradigm. The results showed the patients taking AED polytherapy to have a significantly longer P300 latency and significantly lower N200-P300 amplitude. These results indicate that AED polytherapy might worsen cognitive impairment in patients with epilepsy.
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spelling doaj.art-04c7a679885e49c99f72dcbfb44418a52024-04-15T18:02:17ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.Supplement 3394310.20471/acc.2021.60.s3.05Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsyJelena Šarić Jurić0Stjepan Jurić1Ivana Marković2Petra Jurić3Ivana Jurić4Department of Neurology, Osijek University Hospital Centre, Osijek, Croatia; Department of Neurology and Neurosurgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Psychiatry and Neurology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University, Osijek, CroatiaDepartment of Neurology, Osijek University Hospital Centre, Osijek, Croatia; Department of Neurology and Neurosurgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Psychiatry and Neurology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University, Osijek, CroatiaDepartment of Psychiatry and Neurology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University, Osijek, Croatia; Department of Neurology, Dubrava University Hospital, Zagreb, CroatiaDepartment of Neurology and Neurosurgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Neurology and Neurosurgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaEpilepsy is one of the most prevalent chronic neurological diseases, affecting about 70 million people worldwide. Patients with epilepsy often encounter cognitive dysfunction, which is influenced by different factors including age at the onset of epilepsy, etiology of epilepsy, type of seizures, seizure frequency and duration, psychiatric comorbidity, and antiepileptic drug (AED) therapy. Event-related potentials are useful, noninvasive, objective clinical and research instrument for evaluation of cognitive functions in patients. The aim of this study was to investigate and determine the effect of AED monotherapy and polytherapy on cognitive changes in patients with epilepsy, detected with P300 event-related potentials and compared with age- and gender-matched healthy individuals. The study was conducted in 82 patients with generalized and focal epilepsy and 82 healthy individuals aged 18-65 years. Cognitive evoked P300 potentials were recorded in all study subjects using auditory ‘oddball’ paradigm. The results showed the patients taking AED polytherapy to have a significantly longer P300 latency and significantly lower N200-P300 amplitude. These results indicate that AED polytherapy might worsen cognitive impairment in patients with epilepsy.https://hrcak.srce.hr/file/412780Antiepileptic drugsEpilepsyP300 event-related potentialsCognitive impairment
spellingShingle Jelena Šarić Jurić
Stjepan Jurić
Ivana Marković
Petra Jurić
Ivana Jurić
Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy
Acta Clinica Croatica
Antiepileptic drugs
Epilepsy
P300 event-related potentials
Cognitive impairment
title Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy
title_full Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy
title_fullStr Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy
title_full_unstemmed Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy
title_short Effect of antiepileptic drugs on P300 event-related potentials in patients with epilepsy
title_sort effect of antiepileptic drugs on p300 event related potentials in patients with epilepsy
topic Antiepileptic drugs
Epilepsy
P300 event-related potentials
Cognitive impairment
url https://hrcak.srce.hr/file/412780
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