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The Dravet syndrome is a rare form of epilepsy, and is accompanied by impaired psychomotor and neurologic development, occurring in the first year of life in apparently normal infants. It was initially described in 1978 ( Dravet, 1978 ), as severe myoclonic epilepsy of infancy (SMEI) in order to distinguish it from the Lennox‐Gastaut syndrome.
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Stiripentol (Diacomit ®) is an orally-active, structurally unique anti-epileptic drug (AED) with multiple potential mechanisms of action, including enhancement of central γ-aminobutyric acid transmission.In the EU, stiripentol is indicated for use in conjunction with clobazam and valproate as adjunctive therapy of refractory generalized tonic-clonic seizures in patients with Dravet syndrome.
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Some of these major convulsive seizures have less typical aspects, for example, bilateral or asymmetric tonic posturing, followed in some cases by a tonic vibratory state or clonic movements (Oguni et al., Brain Dev 2001;23:736-748; Akiyama et al., Epilepsia 2010;51:1043-1052).
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Dravet syndrome (DS) is a developmental and epileptic encephalopathy characterized by recurrent seizures and neurodevelopmental impairment. Around half and one-third of patients with DS present.
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Dravet syndrome is a rare, genetic epileptic encephalopathy that gives rise to seizures that don't respond well to seizure medications.It begins in the first year of life in an otherwise healthy infant. Before 1989, this syndrome was known as epilepsy with polymorphic seizures, polymorphic epilepsy in infancy (PMEI), or severe myoclonic epilepsy in infancy (SMEI).
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The classical description of Dravet syndrome, the prototypic developmental and epileptic encephalopathy, is of a normal 6‐month‐old infant presenting with a prolonged, febrile, hemiclonic seizure and showing developmental slowing after age 1 year. SCN1A pathogenic variants are found in >80% of patients.
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Dravet syndrome (DS) is a form of genetic refractory epilepsy. More than 80 % of DS patients carry pathogenic SCN1A mutations, and this percentage is actually higher due to false-negative results in gene testing.. Over time, seizures tend to become less frequent and severe but generalized tonic-clonic seizures remain. DS also has many.
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Effectiveness of antiseizure therapies in the treatment of Dravet syndrome Epilepsies in children, young people and adults Evidence review K NICE Guideline, No. 217 National Guideline Alliance (UK). London: National Institute for Health and Care Excellence (NICE); 2022 Apr. ISBN-13: 978-1-4731-4513-9 Copyright and Permissions Go to:
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SCN1A seizure disorders encompass a spectrum that ranges from simple febrile seizures and generalized epilepsy with febrile seizures plus (GEFS+) at the mild end to Dravet syndrome and intractable childhood epilepsy with generalized tonic-clonic seizures (ICE-GTC) at the severe end.
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Dravet syndrome is a rare form of epilepsy that involves frequent and prolonged seizures. As of 2015, it affected an estimated 1 in 15,700 people in the United States. It accounts for less than.
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Atonic seizures (<50% of cases) Nonconvulsive (obtundation) status epilepticus (10-49% of cases) Tonic and tonic-clonic seizures occurring primarily in sleep and in clusters Typical absences and epileptic spasms are atypical
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Significance: A SCN1A variant that could explain the syndrome was found in over 90% of children. Tonic seizures seem to be more frequent than earlier described.
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Dravet syndrome is an early onset, developmental and epileptic encephalopathy associated with drug‐resistant seizures and multiple comorbidities
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Generalized onset tonic seizures are the predominant epileptic seizures in Lennox-Gastaut syndrome and also occur in neonates and infants with severe epilepsy, like Ohtahara syndrome. Clinically, they manifest with symmetrical sustained increase in muscle contraction, usually lasting a few seconds to 1 minute. Severity varies from inconspicuous.
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Tonic seizures cause sudden, temporary stiffness in your limbs and trunk. The name "tonic" comes from "muscle tone.". Your muscle tone is the stiffness of your muscles at rest. During a.