title: Efficacy of intravenous lacosamide as an add-on treatment in refractory status epilepticus: a multicentric prospective study.
abstract: OBJECTIVE
  Treatment of status epilepticus (SE) has not changed in the last few decades, benzodiazepines plus phenytoin or valproate being the most common treatment. Once this first and second line treatment has failed SE is considered refractory (RSE). This study aimed to assess the efficacy and tolerability of intravenous (iv) lacosamide (LCM) in RSE.
  
  
  METHODS
  Patients with RSE who were treated with ivLCM in six Spanish centers were prospectively included. Efficacy was defined as cessation of seizures after starting ivLCM, with no need for any further antiepileptic drug. All patients had been unsuccessfully treated following the standard protocol (benzodiazepines plus phenytoin or valproate) before ivLCM was added.
  
  
  RESULTS
  Thirty-four patients were included, 52.9% men, with mean age of 60.15 years. In 58.9% of patients the etiology was symptomatic, and the most common type of SE was focal convulsive (82.4%). Mean initial bolus dose of LCM was 323.53mg. ivLCM was effective in more than half of patients (64.7%), with termination of SE before 12h in 50% of them. ivLCM was used as a fourth or later option in 76.5% of patients. No serious adverse events attributable to LCM were reported.
  
  
  CONCLUSIONS
  LCM might be a fast, effective and safe add-on treatment in RSE.
authors.affiliation: Epilepsy Unit, Hospital de Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Miró
authors.forename: M
authors.initials: M
authors.lastname: Toledo
authors.forename: E
authors.initials: E
authors.lastname: Santamarina
authors.forename: A C
authors.initials: AC
authors.lastname: Ricciardi
authors.forename: V
authors.initials: V
authors.lastname: Villanueva
authors.forename: A
authors.initials: A
authors.lastname: Pato
authors.forename: J
authors.initials: J
authors.lastname: Ruiz
authors.forename: R
authors.initials: R
authors.lastname: Juvany
authors.forename: M
authors.initials: M
authors.lastname: Falip
mesh_terms: D000081:Acetamides / Q000008:administration & dosage*; D061605:Administration, Intravenous; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000927:Anticonvulsants / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D000078334:Lacosamide; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013030:Spain; D013226:Status Epilepticus / Q000188:drug therapy*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000081:Acetamides; D000927:Anticonvulsants; D000078334:Lacosamide