PMU-Autor/inn/en
Kluger GerhardAbstract
OBJECTIVE
Seizures are a primary and early disease manifestation of Tuberous Sclerosis Complex (TSC). We aimed to describe the age-stratified patterns of antiseizure drug (ASD) treatments among children, adolescents, and adults with TSC in Germany. Additionally, we reviewed real-world and clinical study evidence regarding ASD utilization in patients with TSC.
We evaluated the pattern of routine ASD use and everolimus prescriptions based on a 2019 multicenter survey of 268 individuals with TSC-associated epilepsy. We contextualized the results with a structured review of real-world and clinical study evidence.
TSC-associated epilepsy treatment comprises a wide variety of ASDs. In this German sample, the majority of patients were treated with polytherapy, and lamotrigine (34.7%), valproate (32.8%), oxcarbazepine (28.7%), vigabatrin (19.0%), and levetiracetam (17.9%) were identified as the most-commonly used ASDs. In addition, everolimus was used by 32.5% of patients. In adherence to current TSC guidelines, the disease-modifying ASD vigabatrin was widely used in children (58% below the age of 5 years), whereas treatment in adults did not necessarily reflect guideline preference for (partial) GABAergic ASDs.
The selection of ASDs for patients with TSC-associated epilepsy follows well-evaluated recommendations, including the guidelines regarding vigabatrin use in children. Several characteristics, such as the comparatively high frequency of valproate use and polytherapy, reflect the severity of TSC-associated epilepsy.
Useful keywords (using NLM MeSH Indexing)
Adolescent
Age Factors
Anticonvulsants/administration*
dosage*
Child
Child, Preschool
Cohort Studies
Cross-Sectional Studies
Epilepsy/drug therapy*
Epilepsy/etiology
Everolimus/administration*
dosage
Germany
Humans
Infant
Infant, Newborn
Practice Patterns, Physicians"
Tuberous Sclerosis/complications
Tuberous Sclerosis/drug therapy*
Young Adult
Find related publications in this database (Keywords)
Epilepsy