PMID- 21198444 OWN - NLM STAT- MEDLINE DCOM- 20110426 LR - 20181201 IS - 1600-0404 (Electronic) IS - 0001-6314 (Linking) VI - 123 IP - 2 DP - 2011 Feb TI - Efficacy and safety of intravenous lacosamide in refractory nonconvulsive status epilepticus. PG - 142-6 LID - 10.1111/j.1600-0404.2010.01430.x [doi] AB - BACKGROUND: Lacosamide (LCM) is a novel antiepileptic drug (AED) recently approved as an adjunctive therapy in the treatment of partial seizures in adults. LCM is available in oral and intravenous formulations, has linear pharmacokinetics and a unique mechanism of action. THE AIM OF THIS STUDY: To evaluate the safety and efficacy of intravenous LCM in the treatment of nonconvulsive status epilepticus (NCSE) after failure of conventional therapy. METHODS: We retrospectively reviewed all patients with NCSE treated with LCM. We reviewed the clinical and electrographic changes before and after LCM administration. We also noted any reported side effects including electrocardiographic changes. RESULTS: We report four cases of NCSE that were refractory to conventional treatment, but readily responsive to LCM. No side effects attributable to LCM were identified. CONCLUSIONS: Intravenous LCM may be safe and efficacious as an add-on AED for the treatment of NCSE when standard therapy fails. CI - (c) 2010 John Wiley & Sons A/S. FAU - Koubeissi, M Z AU - Koubeissi MZ AD - Department of Neurology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH 44106-5040, USA. mohamad.koubeissi@uhhospitals.org FAU - Mayor, C L AU - Mayor CL FAU - Estephan, B AU - Estephan B FAU - Rashid, S AU - Rashid S FAU - Azar, N J AU - Azar NJ LA - eng PT - Journal Article DEP - 20101010 PL - Denmark TA - Acta Neurol Scand JT - Acta neurologica Scandinavica JID - 0370336 RN - 0 (Acetamides) RN - 0 (Anticonvulsants) RN - 563KS2PQY5 (Lacosamide) SB - IM MH - Acetamides/*administration & dosage/adverse effects MH - Aged MH - Anticonvulsants/*administration & dosage/adverse effects MH - Electroencephalography MH - Female MH - Humans MH - Injections, Intravenous/methods MH - Lacosamide MH - Middle Aged MH - Retrospective Studies MH - Single-Blind Method MH - Status Epilepticus/drug therapy MH - Treatment Outcome EDAT- 2011/01/05 06:00 MHDA- 2011/04/27 06:00 CRDT- 2011/01/05 06:00 PHST- 2011/01/05 06:00 [entrez] PHST- 2011/01/05 06:00 [pubmed] PHST- 2011/04/27 06:00 [medline] AID - 10.1111/j.1600-0404.2010.01430.x [doi] PST - ppublish SO - Acta Neurol Scand. 2011 Feb;123(2):142-6. doi: 10.1111/j.1600-0404.2010.01430.x. Epub 2010 Oct 10.