期刊
EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY
卷 20, 期 1, 页码 100-107出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.ejpn.2015.09.007
关键词
Dystonia; Gabapentin; Cerebral palsy; NBIA; WHO International Classification of function; Dystonia severity Assement Plan; Children
资金
- Dystonia Society UK [01/2011, 07/2013]
- National Institute for Health Research (NIHR/HEE Clinical Doctoral Research Fellowship) [CDRF-2013-04-039]
- National Institute for Health Research (NIHR)
- Guy's and St Thomas Charity [G060708]
- Action Medical Research grant [GN2097]
- Action Medical Research [2097] Funding Source: researchfish
Introduction: Gabapentin has been used in the management of neuropathic pain, epilepsy and occasionally movement disorders. Methods: A four-year retrospective, observational study analysed the use of gabapentin for severe dystonia in children at the Evelina London Children's Hospital. Motor severity was classified according to the Gross Motor Function Classification System (GMFCS), Dystonia Severity Assessment Plan (DSAP) and levels of impairment in activities of daily living were graded according to the WHO International Classification of Functioning, Disability and Health, Children & Youth version (ICF-CY) before and after gabapentin. Results: The majority of the 69 children reported were level 5 GMFCS (non-ambulant). The DSAP grade fell significantly from grade 3 before to grade 1 after gabapentin. Significant improvements in median ICF-CY grades were seen following gabapentin in sleep quality, sleep amount, mood & agreeableness, pain, general muscle tone, involuntary muscle contractions and seating tolerance (p < 0.01 in all areas). A significantly higher mean dose of 18.1 mg/kg/dose (SD: 13.3) for dystonia, compared to 7.61 mg/kg/dose (SD: 4.14) for pain relief without dystonia (z = 2.54, p = 0.011) was noted. Discussion & conclusion: Gabapentin may significantly ameliorate dystonia severity and improve activities of daily living and quality of life in children with severe dystonia. (C) 2015 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.
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