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flumazenil and Benign Frontal Childhood Epilepsy

flumazenil has been researched along with Benign Frontal Childhood Epilepsy in 10 studies

Flumazenil: A potent benzodiazepine receptor antagonist. Since it reverses the sedative and other actions of benzodiazepines, it has been suggested as an antidote to benzodiazepine overdoses.
flumazenil : An organic heterotricyclic compound that is 5,6-dihydro-4H-imidazo[1,5-a][1,4]benzodiazepine which is substituted at positions 3, 5, 6, and 8 by ethoxycarbonyl, methyl, oxo, and fluoro groups, respectively. It is used as an antidote to benzodiazepine overdose.

Research Excerpts

ExcerptRelevanceReference
"A patient developed frontal lobe epilepsy at the age of 2 years."1.38[Ketogenic diet may control seizures by increasing the binding potential of the benzodiazepine receptor: a speculation from the [11C] flumazenil-PET study]. ( Fujii, T; Higashi, T; Kumada, T; Miyajima, T; Nishii, R; Oda, N; Saito, K; Shimomura, H, 2012)
" We employed aEEG in combination with conventional EEG in an 11-year old boy presenting with clusters of seizures and were able to accurately evaluate the frequency of seizures in real time."1.36A case of frontal lobe epilepsy in which amplitude-integrated EEG combined with conventional EEG was useful for evaluating clusters of seizures. ( Ishikawa, N; Kobayashi, M; Kobayashi, Y, 2010)
"Fourteen patients had unilateral frontal lobe epilepsy, five occipital lobe epilepsy (OLE), six parietal lobe epilepsy (PLE) and 19 neocortical epilepsy that was not clearly lobar."1.32Grey and white matter flumazenil binding in neocortical epilepsy with normal MRI. A PET study of 44 patients. ( Brooks, DJ; Duncan, JS; Hammers, A; Hurlemann, R; Koepp, MJ; Richardson, MP, 2003)
"Flumazenil-PET is a useful tool for localization of the epileptogenic zone in patients with extratemporal epilepsy caused by focal cortical dysplasia."1.31Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia. ( Arnold, S; Bartenstein, P; Berthele, A; Drzezga, A; Henkel, A; Noachtar, S; Tölle, TR; Weis, S; Werhahn, KJ; Winkler, PA; Yousry, TA, 2000)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (50.00)18.2507
2000's3 (30.00)29.6817
2010's2 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Juhász, C1
Asano, E1
Shah, A1
Chugani, DC1
Batista, CE1
Muzik, O1
Sood, S1
Chugani, HT1
Ishikawa, N1
Kobayashi, Y1
Kobayashi, M1
Kumada, T1
Nishii, R1
Higashi, T1
Miyajima, T1
Oda, N1
Shimomura, H1
Saito, K1
Fujii, T1
Hammers, A1
Koepp, MJ2
Richardson, MP2
Hurlemann, R1
Brooks, DJ2
Duncan, JS2
Savic, I2
Thorell, JO2
Roland, P1
Tanaka, F1
Yonekura, Y1
Ikeda, A1
Terada, K1
Mikuni, N1
Nishizawa, S1
Ishizu, K1
Okazawa, H1
Hattori, N1
Shibasaki, H1
Konishi, J1
Onishi, Y1
Ryvlin, P1
Bouvard, S1
Le Bars, D1
De Lamérie, G1
Grégoire, MC1
Kahane, P1
Froment, JC1
Mauguière, F1
Arnold, S1
Berthele, A1
Drzezga, A1
Tölle, TR1
Weis, S1
Werhahn, KJ1
Henkel, A1
Yousry, TA1
Winkler, PA1
Bartenstein, P1
Noachtar, S1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Cortical Excitability in Succinic Semialdehyde Dehydrogenase Deficiency[NCT00132366]60 participants Observational2005-08-16Completed
PET Imaging of GABA Receptors in Succinic Semialdehyde Dehydrogenase Deficiency[NCT00246870]42 participants (Actual)Observational2005-10-24Completed
Phase 2 Clinical Trial of SGS-742 Therapy in Succinic Semialdehyde Dehydrogenase Deficiency[NCT02019667]Phase 219 participants (Actual)Interventional2014-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline of TMS Measurement of Intracortical Facilitation at the End of the Study Drug and Placebo Treatment Periods

Transcranial Magnetic Stimulation (TMS) is a non-invasive technique which applies magnetic pulses to the brain via a coil inducing an electrical current in the brain. Stimulation is typically applied at a sufficient intensity to trigger action potentials in nearby neurons. Intracortical facilitation (ICF) and inhibition (ICI) were studied using a paired stimulus paradigm. The motor threshold (MT) was first established. The conditioning stimulus (70% MT) followed by the test stimulus (120% MT) was delivered at an interstimulus interval (ISI) of 10 ms for ICF. Each run consisted of 10 trials, and the amplitude ratio of the mean conditioned Motor Evoked Potential (MEP) to control MEP was determined. A larger amplitude ratio indicates greater cortical excitability. The differences between Placebo and Baseline, and SGS and Baseline were obtained. These values were averaged across individuals to report a mean. (NCT02019667)
Timeframe: Baseline and Six months

Interventionratio of MEP amplitude (Mean)
Placebo49.9
Study Drug40.5

Change From Baseline of TMS Measurement of Long Interval Intracortical Inhibition (Long ICI) at the End of the Study Drug and Placebo Treatment Periods

Transcranial Magnetic Stimulation (TMS) is a non-invasive technique which applies magnetic pulses to the brain via a coil inducing an electrical current in the brain. Stimulation is typically applied at a sufficient intensity to trigger action potentials in nearby neurons.Intracortical facilitation and inhibition were studied using a paired stimulus paradigm. The motor threshold (MT) was first established. The conditioning stimulus (70% MT) followed by the test stimulus (120% MT) was delivered at 100 ms for long ICI. Each run consisted of 10 trials, and the amplitude ratio of the mean conditioned Motor Evoked Potential (MEP) to control MEP was determined. A larger amplitude ratio indicates greater cortical excitability. The differences between Placebo and Baseline, and SGS and Baseline were obtained. These values were averaged across individuals to report a mean. (NCT02019667)
Timeframe: Baseline and Six months

Interventionratio of MEP amplitude (Mean)
Placebo-9.3
Study Drug0.3

Change From Baseline of TMS Measurement of Motor Threshold at the End of the Study Drug and Placebo Treatment Periods

Transcranial Magnetic Stimulation (TMS) is a non-invasive technique which applies magnetic pulses to the brain via a coil inducing an electrical current in the brain. Stimulation is typically applied at a sufficient intensity to trigger action potentials in nearby neurons. The motor threshold is defined as the minimum percentage of the stimulator output that evoked a motor evoked potential of more than 50µV in at least 5 out of 10 trials. Motor threshold was measured at the end of the study drug period and the end of the Placebo period. The differences between Placebo and Baseline, and SGS and Baseline were obtained. A decrease from baseline value indicates increased cortical excitability and an increase from baseline value indicates reduced cortical excitability. These values were averaged across individuals to report a mean and standard deviation of this baseline-to-treatment period change. The mean for each treatment can be compared to have a baseline-adjusted treatment effect. (NCT02019667)
Timeframe: Baseline and Six months

Interventionpercentage of stimulator output (Mean)
Placebo-2
Study Drug-0.5

Change From Baseline of TMS Measurement of Short Interval Intracortical Inhibition (Short ICI) at the End of the Study Drug and Placebo Treatment Periods

Transcranial Magnetic Stimulation (TMS) is a non-invasive technique which applies magnetic pulses to the brain via a coil inducing an electrical current in the brain. Stimulation is typically applied at a sufficient intensity to trigger action potentials in nearby neurons. Intracortical facilitation and inhibition were studied using a paired stimulus paradigm. The motor threshold (MT) was first established. The conditioning stimulus (70% MT) followed by the test stimulus (120% MT) was delivered at an interstimulus interval (ISI) of 2 ms for short ICI. Each run consisted of 10 trials, and the amplitude ratio of the mean conditioned Motor Evoked Potential (MEP) to control MEP was determined. A larger amplitude ratio indicates greater cortical excitability. The differences between Placebo and Baseline, and SGS and Baseline were obtained. These values were averaged across individuals to report a mean. (NCT02019667)
Timeframe: Baseline and Six months

Interventionratio of MEP amplitude (Mean)
Placebo35.5
Study Drug-11.0

Change From Baseline on the Adaptive Behavior Assessment System (ABAS) Test at the End of the Study Drug and Placebo Treatment Periods

The ABAS questionnaire was completed by the participant's parent or caregiver at the end of each six month treatment period.The ABAS provides a comprehensive picture of adaptive skills across the lifespan. The questionnaire addresses Conceptual, Social and Practical skills including communication, self-direction, use of leisure time, health, safety and self-care. The General Adaptive Composite score ranges from <40 to >160 with a lower score representing lower adaptive behavior. The difference between Placebo and Baseline and Study Drug and Baseline were obtained. These values were averaged across individuals to report a mean and a standard deviation of the baseline-to-treatment period change. The means for each treatment can be compared to have a baseline-adjusted treatment effect interpretation. A positive change represents an improvement in adaptive skills compared with baseline and a negative change represents a decline in adaptive skills compared with baseline. (NCT02019667)
Timeframe: baseline and six months

Interventionscores on a scale (Mean)
Placebo5.2
Study Drug4.5

Results of Physical Examination at the End of the Study Drug and Placebo Treatment Periods

A physical examination was administered by a physician to subjects at the end of each six month treatment period, i.e., following completion of a six month period on SGS-742 or Placebo. Results of the examination ranged from 0-4 with scores defined as follows: 0=No observation; 1=Stable baseline findings; 2=New asymptomatic finding; 3=Patient reports some worsening of a baseline daily function associated with new finding; 4=Patient unable to carry out a baseline daily function associated with new finding (NCT02019667)
Timeframe: Six months

,
InterventionParticipants (Count of Participants)
01234
Placebo014400
Study Drug015300

Trials

1 trial available for flumazenil and Benign Frontal Childhood Epilepsy

ArticleYear
11C-flumazenil PET in neocortical epilepsy.
    Neurology, 1998, Volume: 51, Issue:2

    Topics: Adolescent; Adult; Brain Mapping; Carbon Isotopes; Epilepsies, Partial; Epilepsy, Frontal Lobe; Fema

1998

Other Studies

9 other studies available for flumazenil and Benign Frontal Childhood Epilepsy

ArticleYear
Focal decreases of cortical GABAA receptor binding remote from the primary seizure focus: what do they indicate?
    Epilepsia, 2009, Volume: 50, Issue:2

    Topics: Adolescent; Carbon Radioisotopes; Cerebral Cortex; Child; Child, Preschool; Dominance, Cerebral; Ele

2009
A case of frontal lobe epilepsy in which amplitude-integrated EEG combined with conventional EEG was useful for evaluating clusters of seizures.
    Epilepsy & behavior : E&B, 2010, Volume: 18, Issue:4

    Topics: Child; Cluster Analysis; Electroencephalography; Epilepsy, Frontal Lobe; Flumazenil; Humans; Iodine

2010
[Ketogenic diet may control seizures by increasing the binding potential of the benzodiazepine receptor: a speculation from the [11C] flumazenil-PET study].
    No to hattatsu = Brain and development, 2012, Volume: 44, Issue:1

    Topics: Brain; Carbon Radioisotopes; Child, Preschool; Diet, Ketogenic; Epilepsy, Frontal Lobe; Female; Flum

2012
Grey and white matter flumazenil binding in neocortical epilepsy with normal MRI. A PET study of 44 patients.
    Brain : a journal of neurology, 2003, Volume: 126, Issue:Pt 6

    Topics: Adolescent; Adult; Artifacts; Epilepsies, Partial; Epilepsy, Frontal Lobe; False Negative Reactions;

2003
[11C]flumazenil positron emission tomography visualizes frontal epileptogenic regions.
    Epilepsia, 1995, Volume: 36, Issue:12

    Topics: Adult; Electroencephalography; Epilepsy; Epilepsy, Frontal Lobe; Female; Flumazenil; Humans; Male; M

1995
Localized cerebellar reductions in benzodiazepine receptor density in human partial epilepsy.
    Archives of neurology, 1996, Volume: 53, Issue:7

    Topics: Adult; Cerebellum; Deoxyglucose; Epilepsies, Partial; Epilepsy, Frontal Lobe; Epilepsy, Temporal Lob

1996
Presurgical identification of epileptic foci with iodine-123 iomazenil SPET: comparison with brain perfusion SPET and FDG PET.
    European journal of nuclear medicine, 1997, Volume: 24, Issue:1

    Topics: Adult; Brain; Deoxyglucose; Electroencephalography; Epilepsy, Frontal Lobe; Epilepsy, Temporal Lobe;

1997
Clinical utility of flumazenil-PET versus [18F]fluorodeoxyglucose-PET and MRI in refractory partial epilepsy. A prospective study in 100 patients.
    Brain : a journal of neurology, 1998, Volume: 121 ( Pt 11)

    Topics: Brain; Electroencephalography; Epilepsies, Partial; Epilepsy, Frontal Lobe; Epilepsy, Temporal Lobe;

1998
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000
Reduction of benzodiazepine receptor binding is related to the seizure onset zone in extratemporal focal cortical dysplasia.
    Epilepsia, 2000, Volume: 41, Issue:7

    Topics: Adolescent; Adult; Autoradiography; Carbon Radioisotopes; Cerebral Cortex; Electroencephalography; E

2000