Steroids in childhood epilepsy

Treatment of epileptic encephalopathies can be very challenging as most anticonvulsant drugs fail to achieve good seizure control. Steroids are disease modifying as well as anticonvulsant in these conditions. Though steroids are accepted as the first-line treatment for infantile spasms, there are ma...

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Main Author: Ramachandrannair Rajesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2006-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.bioline.org.br/request?06051
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author Ramachandrannair Rajesh
author_facet Ramachandrannair Rajesh
author_sort Ramachandrannair Rajesh
collection DOAJ
description Treatment of epileptic encephalopathies can be very challenging as most anticonvulsant drugs fail to achieve good seizure control. Steroids are disease modifying as well as anticonvulsant in these conditions. Though steroids are accepted as the first-line treatment for infantile spasms, there are many unanswered questions with regard to the preparation, dose and duration of treatment. In this review a re-exploration of the literature is attempted. Putative mechanism of action of steroids in infantile spasms is also discussed. As steroids are being increasingly used in other epileptic encephalopathies and Rasmussen′s encephalitis, a brief discussion on the role of steroids in these conditions is attempted. The review ends with the discussion on newer neuroactive steroids in the management of epilepsy.
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spelling doaj.art-0f1edc1863dc4093849bfe07631c78432022-12-21T19:04:15ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23272006-01-0194199206Steroids in childhood epilepsyRamachandrannair RajeshTreatment of epileptic encephalopathies can be very challenging as most anticonvulsant drugs fail to achieve good seizure control. Steroids are disease modifying as well as anticonvulsant in these conditions. Though steroids are accepted as the first-line treatment for infantile spasms, there are many unanswered questions with regard to the preparation, dose and duration of treatment. In this review a re-exploration of the literature is attempted. Putative mechanism of action of steroids in infantile spasms is also discussed. As steroids are being increasingly used in other epileptic encephalopathies and Rasmussen′s encephalitis, a brief discussion on the role of steroids in these conditions is attempted. The review ends with the discussion on newer neuroactive steroids in the management of epilepsy.http://www.bioline.org.br/request?06051ACTHchildhood epilepsyepileptic encephalopathyinfantile spasmsneurosteroidssteroids
spellingShingle Ramachandrannair Rajesh
Steroids in childhood epilepsy
Annals of Indian Academy of Neurology
ACTH
childhood epilepsy
epileptic encephalopathy
infantile spasms
neurosteroids
steroids
title Steroids in childhood epilepsy
title_full Steroids in childhood epilepsy
title_fullStr Steroids in childhood epilepsy
title_full_unstemmed Steroids in childhood epilepsy
title_short Steroids in childhood epilepsy
title_sort steroids in childhood epilepsy
topic ACTH
childhood epilepsy
epileptic encephalopathy
infantile spasms
neurosteroids
steroids
url http://www.bioline.org.br/request?06051
work_keys_str_mv AT ramachandrannairrajesh steroidsinchildhoodepilepsy