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Treatment of idiopathic west and lennox-gastaut syndromes by intravenous administration of human polyvalent immunoglobulins

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Summary

A total of 7 patients (3–21 years old) suffering from an intractable “primary” Lennox-Gastaut syndrome (LGS) were treated with i.v. high doses of polyvalent human immunoglobulins. Of these patients 6 improved following such treatment with a decrease in fits and an improvement in the EEG.

Hypotheses about the contribution of the treatment and immunopathological factors in some cases of idiopathic LGS are discussed.

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References

  • Aarli JA, Fontana A (1980) Immunological aspects of epilepsy. Epilepsia 21:451–457

    Google Scholar 

  • Aicardi J (1982) Childhood epilepsies with brief myoclonic, atonic or tonic seizures. Textbook of epilepsy. In: Laidlaw J, Richens A (eds) 2nd ed. Churchill Livingstone, London, pp 88–96

  • Ariizumi M, Shiihara H, Hibio S, Ryos S, Baba K, Ogawa K, Suzuki Y, Momoki T (1983) High dose gammaglobulin for intractable childhood epilepsy. Lancet II: 162–163

    Google Scholar 

  • Bassanini M, Baez A, Sotelo J (1982) Immunoglobulins in epilepsy. J Neurol Sci 56:275–281

    Google Scholar 

  • Delire M, Petit B, Fiasse L, Masson PL (1980) The therapeutic efficacy of human immunoglobulins as a function of their in vitro antibody activity toward circulating antigens in children with recurrent infections of the upper respiratory tract. J Clin Lab Immunol 4:159–163

    Google Scholar 

  • Fontana A, Fulpius BW, Cuénod S (1978) Antikörper gegen nicotinartige Acetylcholinrezeptoren des Zentralnervensystems und der Muskulatur bei Epileptikern mit IgA-Mangel. Schweiz Med Wochenschr 108:1307–1310

    Google Scholar 

  • Gilhus NE, Aarli JA (1981) Immunoglobulin concentrations in patients with a history of febrile convulsions prior to the development of epilepsy. Neuropediatrics 12:314–318

    Google Scholar 

  • Gilhus NE, Aarli JA, Thorsby E (1982) HLA antigens in epileptic patients with drug-induced immunodeficiency. Int J Immunopharmacol 4:517–520

    Google Scholar 

  • Gronski P, Hofstaetter T, Kanzy EJ, Lüben G, Seiler FR (1983) S-Sulfonation: a reversible chemical modification of human immunoglobulins permitting intravenous application. Vox Sang 45: 144–196

    Google Scholar 

  • Hoffmann MK, Kappler JW (1978) Two distinct mechanisms of immune suppression by antibody. Nature 272:64–65

    Google Scholar 

  • Hoshino C, Yotsumiya N, Yata J (1982) Relationship between anti-GMI antibody and CNS destructions in nervous diseases. Acta Pediatr Jpn 86:1694

    Google Scholar 

  • Newland AC, Treleaven JG, Minchinton RM, Waters AH (1983) High dose intravenous IgG in adults with autoimmune thrombocytopenia. Lancet I 84–87

    Google Scholar 

  • Seager J, Wilson J, Jamieson DL, Hayward AR, Soothill JF (1975) IgA deficiency, epilepsy and phenytoin treatment. Lancet II:632–635

    Google Scholar 

  • Shakir RA, Behan PO, Dick H, Lambie DG (1978) Metabolism of immunoglobulin A, lymphocyte function and histocompatibility antigens in patients on anticonvulsants. J Neurol Neurosurg Psychiatry 41:307–311

    Google Scholar 

  • Smeraldi E, Scorza-Smeraldi R, Cazzullo CL, Guareschi Cazzullo A, Fabio G, Canger R (1975) Immunogenetics of the Lennox-Gastaut Syndrome: Frequency of HLA antigens and haplotypes in patients and first degree relatives. Epilepsia 16:699–703

    Google Scholar 

  • Smeraldi E, Scorza-Smeraldi R, Guareschi-Cazzullo A, Cazzullo CL, Rugarli C, Canger R (1978) Immunogenetics of Lennox-Gastaut Syndrome: Search for LD determinants as genetic markers of the syndrome. Boll-Ist-Sieroter, Milan 56:544–551

    Google Scholar 

  • Stockinger B, Lemmel EM (1978) Fc receptor dependency of antibody mediated feedback regulation: on the mechanisms of inhibition. Cell Immunol 40:395–403

    Google Scholar 

  • Tartara A, Verri AP, Nespoli L, Moglia A, Botta MG (1981) Immunological findings in epileptic and febrile convulsion patients before and under treatment. Eur Neurol 20: 306–311

    Google Scholar 

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van Rijckevorsel-Harmant, K., Delire, M. & Rucquoy-Ponsar, M. Treatment of idiopathic west and lennox-gastaut syndromes by intravenous administration of human polyvalent immunoglobulins. Eur Arch Psychiatr Neurol Sci 236, 119–122 (1986). https://doi.org/10.1007/BF00454021

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  • DOI: https://doi.org/10.1007/BF00454021

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