2016, Number 1
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Arch Neurocien 2016; 21 (1)
Systemic inflammatory status and control of seizures in patients with juvenile myoclonic epilepsy: Preliminary results
García HJF, Villalobos VJ, Martínez JIE, Jara PA, Ochoa MA, Toledo A, Marie FAO
Language: Spanish
References: 19
Page: 17-22
PDF size: 207.51 Kb.
ABSTRACT
Epilepsy is a disorder with high prevalence worldwide, particularly in developing
countries. It has been shown that epilepsy is associated with a local inflammatory
reaction, with astrocyte and microglia activation and secretion of proinflammatory
mediators. In addition there is evidence to suggest that central proinflammatory
states increase the possibility of developing crisis; also it was shown that
systemic inflammation lowers seizure threshold in several experimental models
of peripheral inflammation.
Objective: To determine if a systemic “pro-inflammatory” state may contribute
to the lack of control of seizures in patients with juvenile myoclonic epilepsy
(JME).
Methods: 30 patients treated at INNN since 2005 were included. An ad-hoc
questionnaire was applicated to assess 1) the frequency and intensity of pro-inflammatory
factors in the two months period previous to the interview, and 2)
seizure frequency in this period and their characteristics. Possible associations
between these two parameters were evaluated.
Results: The statistical analysis did not found significant associations between the
intensity of peripheral pro-inflammatory factors and uncontrolled epilepsy.
Conclusions: These results seem to show that systemic inflammatory status
is not involved in the control of seizures in patients with JME. These results are
preliminary and will be completed by the measurement of pro- and anti-inflammatory
proteins in the sera of affected patients.
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