Response to clobazam in continuous spike‐wave during sleep Article Swipe
Clemente Vega
,
Iván Sánchez Fernández
,
Jurriaan M. Peters
,
Maria Sigride Thomé-Souza
,
Michele Jackson
,
Masanori Takeoka
,
Greta Wilkening
,
Phillip L. Pearl
,
Kevin Chapman
,
Tobias Loddenkemper
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1111/dmcn.13607
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1111/dmcn.13607
Aim To evaluate the efficacy of clobazam treatment in reducing epileptiform discharges and modifying neuropsychological function in continuous spike‐wave during slow wave sleep. Method We performed a prospective clinical trial in patients with continuous spike‐wave during sleep aged 4 to 10 years. Patients underwent neuropsychological assessment and overnight electroencephalographic monitoring before treatment, and subsequent repeat assessment and overnight electroencephalographic monitoring 3 months after treatment. Treatment consisted of 1mg/kg clobazam up to a maximum dose of 30mg during the first night, followed by 0.5mg/kg nightly for 3 months. Results Nine patients completed the study and had pre‐ and post‐neuropsychological evaluation. There was a qualitative reduction in median (p 25 –p 75 ) spike percentage after 3 months (72.2 [68.0–75.8] vs 32.7 [4.7–81.7]). There were no marked changes in median (p 25 –p 75 ) IQ comparing pre‐ and post‐clobazam treatment (80.0 [74.0–88.0] vs 80.0 [67.0–89.0]). There was a qualitative increase in Verbal IQ (83.0 [69.0–92.0] vs 95.0 [83.0–99.0]) and a qualitative decrease in Non‐verbal IQ (84.0 [74.0–87.0] vs 71.0 [60.0–84.0]). Interpretation Qualitative improvements in epileptiform activity and cognition occurred in patients treated with clobazam for 3 months and the relationship between epileptiform activity and cognitive outcome should be studied in larger studies. What this paper adds Verbal IQ in patients with continuous spike‐wave during sleep improved following short‐term treatment with clobazam. Other neuropsychological improvements were observed, but varied by patient. Cognitive improvement was observed despite some worsening of epileptiform discharges.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/dmcn.13607
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13607
- OA Status
- bronze
- Cited By
- 18
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2770061534
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2770061534Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/dmcn.13607Digital Object Identifier
- Title
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Response to clobazam in continuous spike‐wave during sleepWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
- Publication date
-
2017-11-23Full publication date if available
- Authors
-
Clemente Vega, Iván Sánchez Fernández, Jurriaan M. Peters, Maria Sigride Thomé-Souza, Michele Jackson, Masanori Takeoka, Greta Wilkening, Phillip L. Pearl, Kevin Chapman, Tobias LoddenkemperList of authors in order
- Landing page
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https://doi.org/10.1111/dmcn.13607Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13607Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13607Direct OA link when available
- Concepts
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Clobazam, Neuropsychology, Anesthesia, Spike-and-wave, Psychology, Medicine, Electroencephalography, Cognition, Audiology, Pediatrics, Epilepsy, PsychiatryTop concepts (fields/topics) attached by OpenAlex
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18Total citation count in OpenAlex
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2025: 4, 2024: 2, 2023: 3, 2022: 1, 2021: 2Per-year citation counts (last 5 years)
- References (count)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(83.0 | 152 |
| abstract_inverted_index.(84.0 | 164 |
| abstract_inverted_index.Other | 220 |
| abstract_inverted_index.There | 99, 121, 144 |
| abstract_inverted_index.after | 62, 113 |
| abstract_inverted_index.first | 78 |
| abstract_inverted_index.paper | 203 |
| abstract_inverted_index.sleep | 36, 213 |
| abstract_inverted_index.spike | 111 |
| abstract_inverted_index.study | 92 |
| abstract_inverted_index.trial | 29 |
| abstract_inverted_index.1mg/kg | 67 |
| abstract_inverted_index.Method | 23 |
| abstract_inverted_index.Verbal | 150, 205 |
| abstract_inverted_index.before | 50 |
| abstract_inverted_index.during | 19, 35, 76, 212 |
| abstract_inverted_index.larger | 199 |
| abstract_inverted_index.marked | 124 |
| abstract_inverted_index.median | 105, 127 |
| abstract_inverted_index.months | 61, 115, 185 |
| abstract_inverted_index.night, | 79 |
| abstract_inverted_index.pre‐ | 95, 135 |
| abstract_inverted_index.repeat | 54 |
| abstract_inverted_index.should | 195 |
| abstract_inverted_index.sleep. | 22 |
| abstract_inverted_index.varied | 226 |
| abstract_inverted_index.years. | 41 |
| abstract_inverted_index.Results | 87 |
| abstract_inverted_index.between | 189 |
| abstract_inverted_index.changes | 125 |
| abstract_inverted_index.despite | 233 |
| abstract_inverted_index.maximum | 72 |
| abstract_inverted_index.months. | 86 |
| abstract_inverted_index.nightly | 83 |
| abstract_inverted_index.outcome | 194 |
| abstract_inverted_index.studied | 197 |
| abstract_inverted_index.treated | 180 |
| abstract_inverted_index.0.5mg/kg | 82 |
| abstract_inverted_index.Patients | 42 |
| abstract_inverted_index.activity | 174, 191 |
| abstract_inverted_index.clinical | 28 |
| abstract_inverted_index.clobazam | 6, 68, 182 |
| abstract_inverted_index.decrease | 160 |
| abstract_inverted_index.efficacy | 4 |
| abstract_inverted_index.evaluate | 2 |
| abstract_inverted_index.followed | 80 |
| abstract_inverted_index.function | 15 |
| abstract_inverted_index.improved | 214 |
| abstract_inverted_index.increase | 148 |
| abstract_inverted_index.observed | 232 |
| abstract_inverted_index.occurred | 177 |
| abstract_inverted_index.patient. | 228 |
| abstract_inverted_index.patients | 31, 89, 179, 208 |
| abstract_inverted_index.reducing | 9 |
| abstract_inverted_index.studies. | 200 |
| abstract_inverted_index.Cognitive | 229 |
| abstract_inverted_index.Treatment | 64 |
| abstract_inverted_index.clobazam. | 219 |
| abstract_inverted_index.cognition | 176 |
| abstract_inverted_index.cognitive | 193 |
| abstract_inverted_index.comparing | 134 |
| abstract_inverted_index.completed | 90 |
| abstract_inverted_index.consisted | 65 |
| abstract_inverted_index.following | 215 |
| abstract_inverted_index.modifying | 13 |
| abstract_inverted_index.observed, | 224 |
| abstract_inverted_index.overnight | 47, 57 |
| abstract_inverted_index.performed | 25 |
| abstract_inverted_index.reduction | 103 |
| abstract_inverted_index.treatment | 7, 138, 217 |
| abstract_inverted_index.underwent | 43 |
| abstract_inverted_index.worsening | 235 |
| abstract_inverted_index.assessment | 45, 55 |
| abstract_inverted_index.continuous | 17, 33, 210 |
| abstract_inverted_index.discharges | 11 |
| abstract_inverted_index.monitoring | 49, 59 |
| abstract_inverted_index.percentage | 112 |
| abstract_inverted_index.subsequent | 53 |
| abstract_inverted_index.treatment, | 51 |
| abstract_inverted_index.treatment. | 63 |
| abstract_inverted_index.Qualitative | 170 |
| abstract_inverted_index.discharges. | 238 |
| abstract_inverted_index.evaluation. | 98 |
| abstract_inverted_index.improvement | 230 |
| abstract_inverted_index.prospective | 27 |
| abstract_inverted_index.qualitative | 102, 147, 159 |
| abstract_inverted_index.Non‐verbal | 162 |
| abstract_inverted_index.epileptiform | 10, 173, 190, 237 |
| abstract_inverted_index.improvements | 171, 222 |
| abstract_inverted_index.relationship | 188 |
| abstract_inverted_index.short‐term | 216 |
| abstract_inverted_index.spike‐wave | 18, 34, 211 |
| abstract_inverted_index.[68.0–75.8] | 117 |
| abstract_inverted_index.[69.0–92.0] | 153 |
| abstract_inverted_index.[74.0–87.0] | 165 |
| abstract_inverted_index.[74.0–88.0] | 140 |
| abstract_inverted_index.Interpretation | 169 |
| abstract_inverted_index.[4.7–81.7]). | 120 |
| abstract_inverted_index.[83.0–99.0]) | 156 |
| abstract_inverted_index.[60.0–84.0]). | 168 |
| abstract_inverted_index.[67.0–89.0]). | 143 |
| abstract_inverted_index.post‐clobazam | 137 |
| abstract_inverted_index.neuropsychological | 14, 44, 221 |
| abstract_inverted_index.electroencephalographic | 48, 58 |
| abstract_inverted_index.post‐neuropsychological | 97 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5038295676, https://openalex.org/A5053657916, https://openalex.org/A5003803292, https://openalex.org/A5046243217, https://openalex.org/A5041457799, https://openalex.org/A5058311554, https://openalex.org/A5086074071, https://openalex.org/A5040108601, https://openalex.org/A5046645524, https://openalex.org/A5077316104 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I1288882113, https://openalex.org/I1307323311, https://openalex.org/I136199984, https://openalex.org/I17974374, https://openalex.org/I4210096275, https://openalex.org/I71999127, https://openalex.org/I921990950 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7599999904632568 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.76761473 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |