Psychiatric and behavioural disorders in children with epilepsy (ILAE Task Force Report): Adverse cognitive and behavioural effects of antiepileptic drugs in children

Albert Aldenkamp, Frank Besag, Giuseppe Gobbi, Rochelle Caplan, David Dunn, Matti Sillanpää

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

The literature was evaluated for cognitive and more general behavioural effects.We distinguished the older antiepileptic drugs (AEDs), from the newer and newest AEDs. The striking finding was the lack of information on children. From the available evidence it would appear that there may be negative cognitive effects with phenobarbital, phenytoin, topiramate and zonisamide, and adverse behavioural effects with phenobarbital, valproate, gabapentin, topiramate, levetiracetam and zonisamide. There is inconclusive data on ethosuximide, clobazam, vigabatrin, felbamate, pregabalin, stiripentol, rufinamide, lacosamide and retigabine. The following drugs appear to be neutral with regard to cognitive effects: valproate, carbamazepine, gabapentin and oxcarbazepine. Carbamazepine appears to be neutral with regard to behavioural effects. Positive cognitive effects have been reported with lamotrigine and levetiracetam. Positive behavioural effects have been reported with lamotrigine. Recommendations are provided.

Original languageEnglish (US)
Pages (from-to)S55-S67
JournalEpileptic Disorders
Volume18
StatePublished - May 1 2016

Keywords

  • Antiepileptic drug
  • Attention
  • Cognition
  • Memory

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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