CNS Drugs

, Volume 3, Issue 2, pp 83–89 | Cite as

The Potential of Immunoglobulin Therapy in Intractable Seizures

  • Varda Gross-Tsur
  • Ruth S. Shalev
Leading Article
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Summary

Immunological mechanisms have been implicated in the pathogenesis of epileptic seizures in experimental animal models of epilepsy and in some patients with epilepsy. In the wake of these observations, clinical trials with high dose intravenous gamma immunoglobulin (IVIg) have shown this drug to be effective and well tolerated in some children with intractable seizures. The overall results with IVIg are encouraging — complete remission occurs in 25% of patients and mild to moderate response is observed in 30%. Particularly favourable results are obtained in patients with a short duration of seizure disorder and relatively preserved cognitive function prior to therapy.

The full potential of IVIg in intractable epilepsy will only be defined following a better understanding of the intricacies of the mechanisms involved in epileptic syndromes and IVIg therapy. Long term controlled studies designed to identify predictors of response, optimal timing, dose and duration of IVIg therapy are needed.

Keywords

Felbamate Intractable Epilepsy Infantile Spasm IVIg Therapy IVIg Treatment 

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Copyright information

© Adis International Limited 1995

Authors and Affiliations

  • Varda Gross-Tsur
    • 1
  • Ruth S. Shalev
    • 1
  1. 1.Neuropediatric Unit and Florence Miller EEG UnitShaare Zedek Medical CenterJerusalemIsrael

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