Efficacy and tolerability of sulthiame in the treatment of epilepsy: a literature review

Author:

Mukhin K. Yu.1ORCID,Pylaeva O. A.1ORCID,Мarkin А. V.1ORCID

Affiliation:

1. Svt. Luka’s Institute of Child Neurology and Epilepsy; Svt. Luka’s Institute of Child and Adult Neurology and Epilepsy

Abstract

This review aims to summarize the available evidence on the efficacy and tolerability of sulthiame for different forms of epilepsy. The analysis of international publications suggests that sulthiame is considered as a first-line drug for the treatment of age-dependent epilepsy with central temporal spikes (rolandic epilepsy). Sulthiame is highly effective in children with epileptic encephalopathies manifesting with spike-and-wave activity during sleep, including Landau-Kleffner syndrome, as well as in patients with myoclonic seizures. The drug might be also effective in patients with other forms of focal epilepsy, including those resistant to therapy. The tolerability of sulthiame is higher that that of old antiepileptic drugs and even levetiracetam; thus, it is associated with a lower risk of treatment interruptions due to adverse events. Moreover, sulthiame can be used for behavioral disorders (such as hyperkinetic behavior, aggressiveness) and cognitive impairments. Sulthiame can be effective in patients with epilepsy and sleep apnea.

Publisher

Publishing House ABV Press

Reference68 articles.

1. Mukhin K.Yu., Petrukhin A.S. Epileptic syndromes. Clinical and electroencephalographic diagnostics and therapy. In: Epileptic syndromes. Diagnosis and therapy (a guideline for doctors). Moscow: Russkiy pechatnyy dvor, 2023. Pp. 146–323. (In Russ.)

2. Mukhin K.Yu., Pylaeva O.A. New classification of epileptic syndromes of the International League Against Epilepsy (2022): Basic definitions and principles; differences from the draft classification; comments and discussion. Vestnik epileptologii = Bulletin of Epileptology 2022:4–14. (In Russ.)

3. Mukhin K.Yu., Petrukhin A.S., Mironov M.B. et al. Epilepsy with electrical status epilepticus during slow-wave sleep: Diagnostic criteria, differential diagnosis and approaches to therapy. Moscow, 2005. 32 p. (In Russ.)]

4. Mukhin K.Yu. Idiopathic focal epilepsy with pseudogeneralized seizures: A special form of epilepsy in children. Russkiy zhurnal detskoy nevrologii = Russian Journal of Child Neurology 2009;4(2):3–19. (In Russ.)

5. Muhin K.Yu., Pylaeva O.A., Kakaulina V.S., Bobylova M.Yu. International classification of epileptic syndromes 2021 and its discussion. Moscow: Russkiy pechatnyy dvor, 2022. 160 p. (In Russ.)

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