Journal of Child Neurology

 

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Journal of Child Neurology, Vol. 17, No. 12, 913-915 (2002)
DOI: 10.1177/08830738020170123004

Carbamazepine versus Sulthiame in Treating Benign Childhood Epilepsy With Centrotemporal Spikes

Uri Kramer, MD

Child Development Center & Pediatric Neurology Unit Tel Aviv Sourasky Medical Center Tel Aviv, Israel, umkramer{at}netvision.net.il

Eli Shahar

Pediatric Neurology Unit Rambam Medical Center Haifa, Israel

Nathanel Zelnik

Department of Pediatrics Carmel Medical Center Haifa, Israel

Tally Lerman-Sagie

Pediatric Neurology Unit Wolfson Medical Center Holon, Israel

Nathan Watemberg

Pediatric Neurology Unit Wolfson Medical Center Holon, Israel

Yoram Nevo

Child Development Center & Pediatric Neurology Unit Tel Aviv Sourasky Medical Center Tel Aviv, Israel

Bruria Ben-Zeev

Pediatric Neurology Unit Chaim Sheba Medical Center Tel Aviv, Israel

We compared the therapeutic efficacy of carbamazepine versus sulthiame in patients with benign childhood epilepsy with centrotemporal spikes. Drug efficacy was evaluated only in those patients who initiated treatment with any drug after at least three seizures. Thirty-eight patients who received carbamazepine and 18 patients who received sulthiame were included in the analysis. Cessation of seizures was observed in 73.6% of the former and in 66.7% of the latter (P = not significant). Five of eight patients who were switched to sulthiame after failing carbamazepine became seizure free, whereas none of the three patients who failed sulthiame became seizure free after being switched to carbamazepine. The rate of drug discontinuation owing to adverse reaction was 15% in carbamazepine and 14.3% in sulthiame. Normalization of interictal epileptiform activity on electroencephalography was seen more often following treatment with sulthiame (71%) than with carbamazepine (42%) (P = not significant). No significant differences between these two medications were found in the treatment of benign childhood epilepsy with centrotemporal spikes in this small patient sample. (J Child Neurol 2002;17:913—915).


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