Page last updated: 2024-11-05

zonisamide and Spasms, Infantile

zonisamide has been researched along with Spasms, Infantile in 24 studies

Zonisamide: A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization.
zonisamide : A 1,2-benzoxazole compound having a sulfamoylmethyl substituent at the 3-position.

Spasms, Infantile: An epileptic syndrome characterized by the triad of infantile spasms, hypsarrhythmia, and arrest of psychomotor development at seizure onset. The majority present between 3-12 months of age, with spasms consisting of combinations of brief flexor or extensor movements of the head, trunk, and limbs. The condition is divided into two forms: cryptogenic (idiopathic) and symptomatic (secondary to a known disease process such as intrauterine infections; nervous system abnormalities; BRAIN DISEASES, METABOLIC, INBORN; prematurity; perinatal asphyxia; TUBEROUS SCLEROSIS; etc.). (From Menkes, Textbook of Child Neurology, 5th ed, pp744-8)

Research Excerpts

ExcerptRelevanceReference
"This study investigated the efficacy and safety of zonisamide (ZNS) adjunctive therapy in children with intractable epilepsy to existing antiepileptic drugs (AEDs)."9.14Efficacy and tolerability of adjunctive therapy with zonisamide in childhood intractable epilepsy. ( Kang, HC; Kim, HD; Lee, JS; Lee, YJ; Seo, JH, 2010)
"Zonisamide can reduce spasms in 21% of children with epileptic spasms, without major adverse effects."9.12Efficacy, tolerability, and safety of zonisamide in children with epileptic spasms: A systematic review and meta-analysis. ( Dawman, L; Panda, P; Panda, PK; Sharawat, IK, 2021)
"This study investigated the efficacy and safety of zonisamide (ZNS) adjunctive therapy in children with intractable epilepsy to existing antiepileptic drugs (AEDs)."5.14Efficacy and tolerability of adjunctive therapy with zonisamide in childhood intractable epilepsy. ( Kang, HC; Kim, HD; Lee, JS; Lee, YJ; Seo, JH, 2010)
"Zonisamide can reduce spasms in 21% of children with epileptic spasms, without major adverse effects."5.12Efficacy, tolerability, and safety of zonisamide in children with epileptic spasms: A systematic review and meta-analysis. ( Dawman, L; Panda, P; Panda, PK; Sharawat, IK, 2021)
" However, oral zonisamide appeared to be safe and tolerable in the study."2.90Safety, tolerability, and effectiveness of oral zonisamide therapy in comparison with intramuscular adrenocorticotropic hormone therapy in infants with West syndrome. ( Angappan, D; Malhi, P; Sahu, JK; Singhi, P, 2019)
" The mainstay of treatment is with multiple anti-seizure medications (ASMs); however, the ASMs themselves can be associated with psychobehavioural adverse events, and effects (negative or positive) on cognition and sleep."2.82Psychobehavioural and Cognitive Adverse Events of Anti-Seizure Medications for the Treatment of Developmental and Epileptic Encephalopathies. ( Schubert-Bast, S; Strzelczyk, A, 2022)
" It included (1) the drugs used for the treatment, (2) their dosage, and (3) the dosage and the schedule of adrenocorticotropic hormone therapy."2.73Current treatment of West syndrome in Japan. ( Ito, M; Okumura, A; Ozawa, H; Tsuji, T; Watanabe, K, 2007)
"The authors evaluated zonisamide for symptomatic infantile spasms in 23 patients."2.71Zonisamide treatment for symptomatic infantile spasms. ( Lotze, TE; Wilfong, AA, 2004)
" The dosage was initially 2-4 mg/kg per day, and then was increased by 2-5 mg/kg every 2-4 days until the seizures disappeared."2.69Treatment of infantile spasms with zonisamide. ( Hanai, T; Narazaki, O; Yanai, S, 1999)
"Vigabatrin has shown promise in treating IS patients, particularly those with tuberous sclerosis."2.42Pharmacologic treatment of the catastrophic epilepsies. ( Conry, JA, 2004)
"In five cases, tonic seizures preceded spasms at a median age of 6 weeks."1.51New insights in phenomenology and treatment of epilepsy in CDKL5 encephalopathy. ( Bienvenu, T; Chikvinidze, G; Dulac, O; Epitashvili, N; Gataullina, S; Melikishvili, G; Tabatadze, N, 2019)
"Time to relapse was not affected by treatment with ZNS or TPM."1.43Prevention of infantile spasms relapse: Zonisamide and topiramate provide no benefit. ( Alayari, A; Anderson, K; Hussain, SA; Lay, J; Rajaraman, RR; Sankar, R, 2016)
" The synthetic ACTH dosage was 0."1.43[Study of the efficacy of low-dose synthetic ACTH therapy without tapering to treat West syndrome]. ( Arai, H; Kodama, K; Omata, T; Tanabe, Y, 2016)
"Zonisamide was administered at a starting dose of 2-8 mg/kg/day, increasing by 2-5 mg/kg/day every three to four days until the seizures disappeared or the dose reached 30 mg/kg/day."1.35Zonisamide in West syndrome: an open label study. ( Ko, TS; Yum, MS, 2009)
"We diagnosed interstitial pneumonitis (IP) based on her chest CT and high serum concentrations of KL-6 and surfactant protein D."1.34[Valproate sodium and zonisamide associated interstitial pneumonitis in an infant]. ( Doi, T; Kato, T; Nikaido, K; Takayama, R, 2007)
" We designed three protocols to raise the serum ZNS concentration (SZC): (1) increase the dose in three steps, from 3 to 10 mg/kg every 3 days, (2) increase the dose from 5 to 10 mg/kg over 3-7 days, and (3) start with 10 mg/kg and maintain this dosage for 2 weeks."1.33Zonisamide for West syndrome: a comparison of clinical responses among different titration rate. ( Funatsuka, M; Hayashi, K; Imai, K; Oguni, H; Osawa, M; Yanagaki, S; Yoshii, K, 2005)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (16.67)18.2507
2000's11 (45.83)29.6817
2010's7 (29.17)24.3611
2020's2 (8.33)2.80

Authors

AuthorsStudies
Strzelczyk, A1
Schubert-Bast, S1
Panda, PK1
Sharawat, IK1
Panda, P1
Dawman, L1
Angappan, D1
Sahu, JK1
Malhi, P1
Singhi, P1
Melikishvili, G1
Epitashvili, N1
Tabatadze, N1
Chikvinidze, G1
Dulac, O1
Bienvenu, T1
Gataullina, S1
Rajaraman, RR1
Lay, J1
Alayari, A1
Anderson, K1
Sankar, R1
Hussain, SA1
Kodama, K1
Omata, T1
Arai, H2
Tanabe, Y1
Lee, YJ1
Kang, HC1
Seo, JH1
Lee, JS1
Kim, HD1
Yum, MS1
Ko, TS1
Chugani, HT1
Asano, E1
Sood, S1
Kelemen, A1
Rásonyl, G1
Neuwirth, M1
Barcs, G1
Szucs, A1
Jakus, R1
Fabó, D1
Juhos, V1
Pálfy, B1
Halász, P1
Lotze, TE1
Wilfong, AA1
Conry, JA1
Yanagaki, S1
Oguni, H1
Yoshii, K1
Hayashi, K1
Imai, K4
Funatsuka, M1
Osawa, M1
Nikaido, K1
Kato, T1
Takayama, R1
Doi, T1
Tsuji, T1
Okumura, A1
Ozawa, H1
Ito, M1
Watanabe, K1
Yanagihara, K2
Otani, K2
Futagi, Y1
Suzuki, Y3
Nagai, T2
Ono, J2
Tagawa, T2
Abe, J2
Shiomi, M1
Okada, S2
Kawawaki, H1
Tomiwa, K1
Shiraishi, K1
Murata, R1
Yanai, S1
Hanai, T1
Narazaki, O1
Kubota, M1
Nishi-Nagase, M1
Sakakihara, Y1
Noma, S1
Nakamoto, M1
Kawaguchi, H1
Yanagisawa, M1
Kishi, T1
Nejihashi, Y1
Kajiyama, M1
Ueda, K1
Traverse, LD1
Toribe, Y1
Ueda, H1
Shimono, K1
Okinaga, T1
Matsuoka, T1
Morita, Y1
Fujikawa, Y1
Mano, T1

Reviews

4 reviews available for zonisamide and Spasms, Infantile

ArticleYear
Psychobehavioural and Cognitive Adverse Events of Anti-Seizure Medications for the Treatment of Developmental and Epileptic Encephalopathies.
    CNS drugs, 2022, Volume: 36, Issue:10

    Topics: Autism Spectrum Disorder; Bromides; Cannabidiol; Clobazam; Cognition; Ethosuximide; Everolimus; Felb

2022
Efficacy, tolerability, and safety of zonisamide in children with epileptic spasms: A systematic review and meta-analysis.
    Seizure, 2021, Volume: 91

    Topics: Anticonvulsants; Child; Humans; Prospective Studies; Retrospective Studies; Spasm; Spasms, Infantile

2021
Pharmacologic treatment of the catastrophic epilepsies.
    Epilepsia, 2004, Volume: 45 Suppl 5

    Topics: Anticonvulsants; Child, Preschool; Epilepsies, Myoclonic; Epilepsy; Fructose; Humans; Infant; Isoxaz

2004
Zonisamide in West syndrome.
    Brain & development, 2001, Volume: 23, Issue:7

    Topics: Anticonvulsants; Electroencephalography; Humans; Infant; Isoxazoles; Spasms, Infantile; Zonisamide

2001

Trials

8 trials available for zonisamide and Spasms, Infantile

ArticleYear
Safety, tolerability, and effectiveness of oral zonisamide therapy in comparison with intramuscular adrenocorticotropic hormone therapy in infants with West syndrome.
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2019, Volume: 23, Issue:1

    Topics: Administration, Oral; Adrenocorticotropic Hormone; Anticonvulsants; Female; Humans; Infant; Injectio

2019
Efficacy and tolerability of adjunctive therapy with zonisamide in childhood intractable epilepsy.
    Brain & development, 2010, Volume: 32, Issue:3

    Topics: Adolescent; Anticonvulsants; Chemotherapy, Adjuvant; Child; Child, Preschool; Dose-Response Relation

2010
Zonisamide treatment for symptomatic infantile spasms.
    Neurology, 2004, Jan-27, Volume: 62, Issue:2

    Topics: Anticonvulsants; Child, Preschool; Electroencephalography; Female; Humans; Infant; Isoxazoles; Male;

2004
Current treatment of West syndrome in Japan.
    Journal of child neurology, 2007, Volume: 22, Issue:5

    Topics: Adrenocorticotropic Hormone; Anticonvulsants; Dose-Response Relationship, Drug; Drug Administration

2007
Zonisamide monotherapy in newly diagnosed infantile spasms.
    Epilepsia, 1997, Volume: 38, Issue:9

    Topics: Adrenocorticotropic Hormone; Anticonvulsants; Drug Administration Schedule; Drug Therapy, Combinatio

1997
[Efficacy of zonisamide in West syndrome].
    No to hattatsu = Brain and development, 1999, Volume: 31, Issue:3

    Topics: Anticonvulsants; Female; Humans; Infant; Isoxazoles; Male; Spasms, Infantile; Zonisamide

1999
Treatment of infantile spasms with zonisamide.
    Brain & development, 1999, Volume: 21, Issue:3

    Topics: Anticonvulsants; Electroencephalography; Female; Follow-Up Studies; Humans; Infant; Isoxazoles; Male

1999
Long-term response to zonisamide in patients with West syndrome.
    Neurology, 2002, May-28, Volume: 58, Issue:10

    Topics: Adolescent; Anticonvulsants; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Infant; Iso

2002

Other Studies

12 other studies available for zonisamide and Spasms, Infantile

ArticleYear
New insights in phenomenology and treatment of epilepsy in CDKL5 encephalopathy.
    Epilepsy & behavior : E&B, 2019, Volume: 94

    Topics: Anticonvulsants; Child; Child, Preschool; Drug Therapy, Combination; Electroencephalography; Electro

2019
Prevention of infantile spasms relapse: Zonisamide and topiramate provide no benefit.
    Epilepsia, 2016, Volume: 57, Issue:8

    Topics: Cohort Studies; Electroencephalography; Female; Fructose; Humans; Infant; Isoxazoles; Male; Recurren

2016
[Study of the efficacy of low-dose synthetic ACTH therapy without tapering to treat West syndrome].
    No to hattatsu = Brain and development, 2016, Volume: 48, Issue:3

    Topics: Adrenocorticotropic Hormone; Anticonvulsants; Drug Therapy, Combination; Feasibility Studies; Female

2016
Zonisamide in West syndrome: an open label study.
    Epileptic disorders : international epilepsy journal with videotape, 2009, Volume: 11, Issue:4

    Topics: Age of Onset; Anticonvulsants; Dose-Response Relationship, Drug; Drug Administration Schedule; Drug

2009
Infantile spasms: who are the ideal surgical candidates?
    Epilepsia, 2010, Volume: 51 Suppl 1

    Topics: Anticonvulsants; Brain; Electroencephalography; Humans; Infant; Isoxazoles; Magnetic Resonance Imagi

2010
Our clinical experience with zonisamide in resistant generalized epilepsy syndromes.
    Ideggyogyaszati szemle, 2011, Mar-30, Volume: 64, Issue:5-6

    Topics: Adolescent; Adult; Anticonvulsants; Child; Child, Preschool; Confusion; Disorders of Excessive Somno

2011
Zonisamide for West syndrome: a comparison of clinical responses among different titration rate.
    Brain & development, 2005, Volume: 27, Issue:4

    Topics: Anticonvulsants; Drug Administration Schedule; Humans; Infant; Isoxazoles; Spasms, Infantile; Zonisa

2005
[Valproate sodium and zonisamide associated interstitial pneumonitis in an infant].
    No to hattatsu = Brain and development, 2007, Volume: 39, Issue:1

    Topics: Anticonvulsants; Epilepsy; Female; Humans; Infant; Isoxazoles; Lung Diseases, Interstitial; Respirat

2007
[The effect of zonisamide in West syndrome].
    No to hattatsu = Brain and development, 1995, Volume: 27, Issue:6

    Topics: Anticonvulsants; Female; Humans; Infant; Isoxazoles; Male; Spasms, Infantile; Zonisamide

1995
Zonisamide - induced urinary lithiasis in patients with intractable epilepsy.
    Brain & development, 2000, Volume: 22, Issue:4

    Topics: Adolescent; Anticonvulsants; Child; Female; Humans; Hydronephrosis; Isoxazoles; Kidney Calculi; Male

2000
Successful zonisamide treatment for infants with hypsarrhythmia.
    Pediatric neurology, 2000, Volume: 23, Issue:3

    Topics: Anticonvulsants; Cerebral Cortex; Electroencephalography; Female; Humans; Infant; Isoxazoles; Male;

2000
Successful zonisamide treatment for infants with hypsarrhythmia.
    Pediatric neurology, 2001, Volume: 25, Issue:5

    Topics: Humans; Infant; Isoxazoles; Spasms, Infantile; Terminology as Topic; Zonisamide

2001