Sodium Valproate and Levetiracetam Treatment in Children: Their Effects on Serum Paraoxonase/ Arylesterase Activities by Esra Türe* in Techniques in Neurosurgery & Neurology_ Journal of Neurosurgery
Abstract
Objectives:
Investigation of effects of seizures and used antiepileptic drugs on serum
Paraoxons 1 (PON1) and aryl
esterase (PONAryl) activities in patients diagnosed with epilepsy and
simple febrile convulsion was aimed.
Materials
and methods: Of the patients who were being followed-up with
diagnosis of epilepsy and admitted to emergency department with complaint of
seizure; patients using sodium valproate, levetiracetam and diagnosed with
simple febrile convulsion were included in the study. In order to measure
levels of PON1 and PONAryl, venous blood samples were obtained.
Results: When
serum PON1 and PONAryl levels of the groups were compared, PON1 and PONAryl
levels were determined to be statistically significantly lower in the epilepsy
group using sodium valproate (p=0.001, p=0.001).
Conclusion:
Valproate had a potent inhibition effect and levetiracetam had weak inhibition
effect on PON1 and PONAryl activities. Results suggest need for close follow-up
of these patients with impaired oxidative balance due to increased risk of
atherosclerosis.
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