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Antiepileptic Drugs, Cognition and Neurodevelopment

  • MJ Eadie
  • FJE Vajda

Abstract

Antiepileptic drug exposure in utero may have adverse effects on the developing brain, as has been shown in experimental animals. Exposure in the first trimester of human pregnancy may be associated with the occurrence of physical malformations in the foetus but, in addition, foetal valproate exposure poses a significant risk for the cognitive development of the infant, an effect that is dose dependent. Carbamazepine and lamotrigine exposures appear to hold a lesser risk for cognitive development, while the risks associated with exposure to the other antiepileptic drugs are uncertain. Further, evidence has become available that intrauterine valproate exposure may be associated with the development of autism-spectrum disorder in childhood. Not enough data exists to clarify the situation in this regard for the other antiepileptic drugs.

Keywords

Status Epilepticus Antiepileptic Drug Foetal Exposure Language Score Valproate Group 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • MJ Eadie
    • 1
  • FJE Vajda
    • 2
  1. 1.Clinical Neurology and NeuropharmacologyUniversity of Queensland, and Honorary Consultant Neurologist, Royal Brisbane and Women’s HospitalBrisbaneAustralia
  2. 2.Department of Medicine and Neurology Director of the Australian Epilepsy and Pregnancy RegisterUniversity of Melbourne and Royal Melbourne HospitalMelbourneAustralia

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