Cannabidiol in Drug-Resistant Epilepsy (DRE) in Children: A Retrospective Study.

IF 1.7 4区 医学 Q2 PEDIATRICS
Indian pediatrics Pub Date : 2025-07-01 Epub Date: 2025-04-22 DOI:10.1007/s13312-025-00075-9
Vykuntaraju K Gowda, Halima Simin, Uddhava V Kinhal, G V Basavaraja, K S Sanjay
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引用次数: 0

Abstract

Objectives: To describe the effectiveness and tolerability of cannabidiol (CBD) in children with drug-resistant epilepsy (DRE).

Methods: Records of children with DRE who received CBD for at least six months were reviewed. Reduction in seizure frequency [complete (> 90%), partial (30-90%), no response (< 30%)], parent reported adverse effects and discontinuation of CBD, if any, were noted.

Results: Records of 50 children with DRE (Lennox-Gastaut syndrome 32, Dravet syndrome 4, and Tuberous sclerosis complex 2), mean (SD) age 7.8 (4.3) years were reviewed. Complete, partial, and no response to CBD was seen in 10, 18 and 14 children; 8 became seizure-free. Eight children discontinued treatment due to lack of efficacy (n = 4), by increased adverse effects (n = 3) and aggravation of seizures (n = 1). Adverse effects were noted in 22 (44%), none required hospitalization.

Conclusion: Cannabidiol is a useful and safe add-on drug in children with DRE.

大麻二酚在儿童耐药癫痫(DRE)中的作用:回顾性研究。
目的:探讨大麻二酚(CBD)治疗儿童耐药癫痫(DRE)的疗效和耐受性。方法:回顾接受CBD治疗至少6个月的DRE患儿的记录。结果:回顾了50例DRE患儿(lenox - gastaut综合征32例,Dravet综合征4例,结节性硬化症2例),平均(SD)年龄7.8(4.3)岁的癫痫发作频率降低[完全(bb0 90%),部分(30-90%),无反应]。10名、18名和14名儿童对CBD有完全、部分和无反应;8人不再癫痫发作。8名儿童因缺乏疗效(n = 4)、不良反应增加(n = 3)和癫痫发作加重(n = 1)而停止治疗。22例(44%)出现不良反应,无患者需要住院治疗。结论:大麻二酚是治疗DRE患儿的一种有效、安全的辅助用药。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Indian pediatrics
Indian pediatrics 医学-小儿科
CiteScore
3.30
自引率
8.70%
发文量
344
审稿时长
3-8 weeks
期刊介绍: The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.
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