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SCN1A seizure disorders encompass a spectrum that ranges from simple febrile seizures and generalized epilepsy with febrile seizures plus (GEFS+) at the mild end to Dravet syndrome and intractable childhood epilepsy with generalized tonic-clonic seizures (ICE-GTC) at the severe end.
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Dravet syndrome (DS) is a form of genetic refractory epilepsy. More than 80 % of DS patients carry pathogenic SCN1A mutations, and this percentage is actually higher due to false-negative results in gene testing.. Over time, seizures tend to become less frequent and severe but generalized tonic-clonic seizures remain. DS also has many.
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Dravet syndrome is a rare form of epilepsy that involves frequent and prolonged seizures. As of 2015, it affected an estimated 1 in 15,700 people in the United States. It accounts for less than.
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Effectiveness of antiseizure therapies in the treatment of Dravet syndrome Epilepsies in children, young people and adults Evidence review K NICE Guideline, No. 217 National Guideline Alliance (UK). London: National Institute for Health and Care Excellence (NICE); 2022 Apr. ISBN-13: 978-1-4731-4513-9 Copyright and Permissions Go to:
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Tonic seizures cause sudden, temporary stiffness in your limbs and trunk. The name "tonic" comes from "muscle tone.". Your muscle tone is the stiffness of your muscles at rest. During a.
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Dravet syndrome (DS), also known as severe myoclonic epilepsy of infancy (SMEI), is one of the rare early childhood intractable epileptic encephalopathies associated with pleomorphic seizure activity, cognitive decline, motor, and behavioral abnormalities. The convulsive seizure is the most common type seen in DS.
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The classical description of Dravet syndrome, the prototypic developmental and epileptic encephalopathy, is of a normal 6‐month‐old infant presenting with a prolonged, febrile, hemiclonic seizure and showing developmental slowing after age 1 year. SCN1A pathogenic variants are found in >80% of patients.
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Some of these major convulsive seizures have less typical aspects, for example, bilateral or asymmetric tonic posturing, followed in some cases by a tonic vibratory state or clonic movements (Oguni et al., Brain Dev 2001;23:736-748; Akiyama et al., Epilepsia 2010;51:1043-1052).
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Significance: A SCN1A variant that could explain the syndrome was found in over 90% of children. Tonic seizures seem to be more frequent than earlier described.
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The Dravet syndrome is a rare form of epilepsy, and is accompanied by impaired psychomotor and neurologic development, occurring in the first year of life in apparently normal infants. It was initially described in 1978 ( Dravet, 1978 ), as severe myoclonic epilepsy of infancy (SMEI) in order to distinguish it from the Lennox‐Gastaut syndrome.
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Dravet syndrome is a rare disorder characterized by seizures and developmental problems. The seizures begin before age 1. The cognitive, behavioral, and physical problems begin around age 2 or 3. Dravet syndrome is a lifelong condition.
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Dravet syndrome is an early onset, developmental and epileptic encephalopathy associated with drug‐resistant seizures and multiple comorbidities
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Atonic seizures (<50% of cases) Nonconvulsive (obtundation) status epilepticus (10-49% of cases) Tonic and tonic-clonic seizures occurring primarily in sleep and in clusters Typical absences and epileptic spasms are atypical
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Stiripentol (Diacomit ®) is an orally-active, structurally unique anti-epileptic drug (AED) with multiple potential mechanisms of action, including enhancement of central γ-aminobutyric acid transmission.In the EU, stiripentol is indicated for use in conjunction with clobazam and valproate as adjunctive therapy of refractory generalized tonic-clonic seizures in patients with Dravet syndrome.
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Dravet syndrome (DS) is a developmental and epileptic encephalopathy characterized by recurrent seizures and neurodevelopmental impairment. Around half and one-third of patients with DS present.