PMID- 20139404 OWN - NLM STAT- MEDLINE DCOM- 20110222 LR - 20151119 IS - 1708-8283 (Electronic) IS - 0883-0738 (Linking) VI - 25 IP - 8 DP - 2010 Aug TI - Midazolam or diazepam administration during electroencephalography helps to diagnose subacute sclerosing panencephalitis (SSPE). PG - 994-9 LID - 10.1177/0883073809357239 [doi] AB - Although diagnostic contribution of intravenous diazepam administration during electroencephalography (EEG) recording in subacute sclerosing panencephalitis has been known, no another drug with less potential side effects has been studied in this procedure. In this study, diazepam is compared with midazolam in 25 subacute sclerosing panencephalitis-diagnosed children and 10 children with subacute sclerosing panencephalitis-suggesting symptoms, normal EEG findings and no certain diagnosis. Neither midazolam nor diazepam affected typical periodic slow-wave complexes. However, in the patients with atypical EEG abnormalities, midazolam, like diazepam, attenuated sharp or sharp-and-slow waves, and therefore made the identification of periodic slow-wave paroxysms easier. In the patients with normal EEGs, both midazolam and diazepam revealed typical periodic complexes on EEG recording in the same 3 patients. Cerebrospinal fluid examination verified the diagnosis of subacute sclerosing panencephalitis. The findings suggest that midazolam or diazepam administration increases the contribution of EEG recording in atypical cases with subacute sclerosing panencephalitis. FAU - Yilmaz, Kutluhan AU - Yilmaz K AD - Department of Pediatrics, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey. drkutluhan@yahoo.com FAU - Sahin, Derya Aydin AU - Sahin DA LA - eng PT - Comparative Study PT - Journal Article DEP - 20100205 PL - United States TA - J Child Neurol JT - Journal of child neurology JID - 8606714 RN - 0 (Biomarkers) RN - 0 (GABA Modulators) RN - Q3JTX2Q7TU (Diazepam) RN - R60L0SM5BC (Midazolam) SB - IM MH - Adolescent MH - Biomarkers/analysis/cerebrospinal fluid MH - Brain/drug effects/pathology/physiopathology MH - Child MH - Child, Preschool MH - *Diazepam/pharmacology MH - Electroencephalography/*drug effects/*methods MH - Evoked Potentials/drug effects/physiology MH - Female MH - GABA Modulators/pharmacology MH - Humans MH - Infant MH - Male MH - *Midazolam/pharmacology MH - Predictive Value of Tests MH - Subacute Sclerosing Panencephalitis/*diagnosis/*physiopathology EDAT- 2010/02/09 06:00 MHDA- 2011/02/23 06:00 CRDT- 2010/02/09 06:00 PHST- 2010/02/09 06:00 [entrez] PHST- 2010/02/09 06:00 [pubmed] PHST- 2011/02/23 06:00 [medline] AID - 0883073809357239 [pii] AID - 10.1177/0883073809357239 [doi] PST - ppublish SO - J Child Neurol. 2010 Aug;25(8):994-9. doi: 10.1177/0883073809357239. Epub 2010 Feb 5.