Intavenous immunoglobulin for the management of intractable epilepsy in a boy
- PMID: 29904260
- PMCID: PMC5997017
Intavenous immunoglobulin for the management of intractable epilepsy in a boy
Abstract
Background: The involvement of the immune system in the pathogenesis of certain types of epilepsy has been supported in the past. The use of intravenous immunoglobulin in the treatment of neurologic diseases has shown a progressive trend over the last years.
Case report: We report the case of a 9.5-year-old boy with refractory epilepsy who was admitted for investigation of his persistent seizures and severe psychomotor regression. He experienced persistent tonic-clonic over the preceding six months and long lasting atonic seizures since the age of six and did not respond to multiple anticonvulsant drugs. The administration of intravenous immunoglobulin achieved seizure control and cognitive improvement.
Conclusion: This case underscores the efficacy of intravenous immunoglobulin in the treatment of refractory epilepsy in children. HIPPOKRATIA 2017, 21(1): 55-57.
Keywords: Intravenous immunoglobulin; children; refractory epilepsy; treatment.
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References
-
- Billiau AD, Wouters CH, Lagae LG. Epilepsy and the immune system: is there a link? . Eur J Pediatr Neurol. 2005;9:29–42. - PubMed
-
- Billiau AD, Witters P, Ceulemans B, Kasra A, Wouters C, Lagae L. Intravenous immunoglobulins in refractory childhood-onset epilepsy: effects on seizure frequency, EEG activity, and cerebrospinal fluid cytokine profile. Epilepsia. 2007;48:1739–1749. - PubMed
-
- Villani F, Avanzini G. The use of immunoglobulins in the treatment of human epilepsy. Neurol Sci. 2002;23:S33–S37. - PubMed
-
- Sharp M, Javidan M. Immunomodulation in adult epilepsy: the role of IVIG. Can J Neurol Sci. 2012;39:584–591. - PubMed
-
- Bello-Espinosa LE, Rajapakse T, Rho JM, Buchhalter J. Efficacy of intravenous immunoglobulin in a cohort of children with drug-resistant epilepsy. Pediatr Neurol. 2015;52:509–516. - PubMed
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