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Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 15-20

Intravenous levetiracetam for treatment of seizures in term and preterm neonates

1 Department of Pediatric Neurology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey
2 Department of Neonatology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey

Correspondence Address:
Dr. Pakize Karaoglu
Department of Pediatric Neurology, Dokuz Eylül University, 35340 Balçova, İzmir.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpn.JPN_66_19

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Context: Seizures are the most frequent neurological disturbance in the neonatal period, and there are no evidence-based guidelines for the treatment of neonatal seizures. Here we report a study on the use of levetiracetam as second-line therapy in the treatment of seizures in term and preterm neonates. Aim: The aim of this study was to assess the efficacy and safety of levetiracetam for seizures of term and preterm neonates. Settings and Design: We retrospectively analyzed data of the patients who had seizures and who were treated with levetiracetam as an add-on therapy to phenobarbital during the neonatal period. Statistical Analysis: The Statistical Package for the Social Sciences (SPSS) software, version 15.0 (SPSS, Chicago, Illinois), was used for statistical analysis. Continuous variables were expressed as mean values and standard deviations. Results: Thirty-six patients (8 term and 28 preterm) received levetiracetam. Mean dose of levetiracetam was 31.67 ± 14.83mg/kg/day. Twenty-five of the patients (69.4%) were seizure free with levetiracetam treatment. Electroencephalography recordings improved in 28 (77.8%) of the patients after levetiracetam. No severe adverse effects were observed. Conclusion: Our data suggest that levetiracetam may be a safe and effective treatment for neonatal seizures, which are unresponsive to phenobarbital.


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