TY - JOUR
T1 - Derzeitiger stellenwert intravenöser valproinsäure in der therapie des generalisierten tonisch-klonischen status epilepticus
T2 - Ergebnisse einer expertenkonferenz, Zürich, 17. und 18. Dezember 2004
AU - Krämer, Günter
AU - Bergmann, A.
AU - Despland, P. A.
AU - König, S.
AU - Kurlemann, G.
AU - Kurth, C.
AU - Löscher, W.
AU - Luef, G.
AU - Meierkord, H.
AU - Noachtar, S.
AU - Pohlmann-Eden, B.
AU - Rosenow, F.
AU - Rüegg, S.
AU - Runge, U.
AU - Schmidt, D.
AU - Schmitt, B.
AU - Siegel, A.
AU - Stefan, H.
AU - Stodieck, S.
AU - Taubøll, E.
AU - Trinka, E.
AU - Überall, M.
PY - 2005/6
Y1 - 2005/6
N2 - In spite of lacking approval intravenous valproic acid (VPA) is used for therapy of status epilepticus (SE) including status epilepticus of generalized tonic-clonic seizures (SEGTCS). Evidence class I and II data from randomised and blinded studies are not available. An expert panel including basic scientists and neuropediatricians as well as neurologists evaluated and summarized the currently available data from the literature and the clinical experience of the participating authors regarding the use of intravenous VPA in SE. In the german speaking countries intravenous VPA is not yet approved for therapy of SE. It is used "off-label" based on evidence from class III and IV data following unsuccessful pretreatment with benzodiazepines, phenytoin, or phenobarbital. Recommendations regarding dosage and monitoring are given. A prospective registre of the use of intravenous VPA in SEGTCS is suggested to get more reliable data.
AB - In spite of lacking approval intravenous valproic acid (VPA) is used for therapy of status epilepticus (SE) including status epilepticus of generalized tonic-clonic seizures (SEGTCS). Evidence class I and II data from randomised and blinded studies are not available. An expert panel including basic scientists and neuropediatricians as well as neurologists evaluated and summarized the currently available data from the literature and the clinical experience of the participating authors regarding the use of intravenous VPA in SE. In the german speaking countries intravenous VPA is not yet approved for therapy of SE. It is used "off-label" based on evidence from class III and IV data following unsuccessful pretreatment with benzodiazepines, phenytoin, or phenobarbital. Recommendations regarding dosage and monitoring are given. A prospective registre of the use of intravenous VPA in SEGTCS is suggested to get more reliable data.
UR - http://www.scopus.com/inward/record.url?scp=21344457218&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=21344457218&partnerID=8YFLogxK
U2 - 10.1055/s-2005-866872
DO - 10.1055/s-2005-866872
M3 - Artículo de revisión
AN - SCOPUS:21344457218
SN - 0302-4350
VL - 32
SP - 263
EP - 274
JO - Aktuelle Neurologie
JF - Aktuelle Neurologie
IS - 5
ER -