0
Article   |    
CLINICAL AND ELECTROENCEPHALOGRAPHIC OBSERVATIONS CONCERNING THE EFFECT OF TRIDIONE IN EPILEPTIC PATIENTS
EUGENE DAVIDOFF
Am J Psychiatry 1948;104:600-607.
text A A A
PDF of the full text article.
Abstract
1. Clinical results.Tridione was administered to 75 patients suffering from epilepsy. Clinically, tridione appears to be most effective in cases of epilepsy with spastic cerebral palsies of the milder type; 65% of this group were improved. This is particularly true in children with mild attacks or with mild organic impairment whose seizures are less severe and in whom the manifestations observed are of more recent origin.Sixty percent of the patients who had petit mal seizures were improved. Tnidione was of value in one-half of the patients who experienced psychomotor attacks.Only 30% of the patients with grand mal seizures improved. Tridione appears to be of no value in the myoclonias observed at Craig Colony.2. EEG. observations.Thirty-eight or 51% of the patients manifested EEG. improvement. Beneficial effect on the EEG. record and clinical reduction of seizures were not always concomitant. In 17 patients in whom clinical improvement was not present, the EEG. record showed improvement, and 15 cases who showed clinical improvement showed no change in the EEG.Clinically the spastic type responded best; 65% of these cases were improved. The petit mals showed 60% improvement. Electroencephalographically, the petit mal type responded best; 67% of the petit mal cases showed improvement on the EEG. tracing, whereas only 52% of the spastic group showed diminution of abnormal waves. In the psychomotor group 50% were improved clinically and 58% showed EEG. improvement.Patients manifesting the higher amplitude, slower waves, responded best. The so-called psychomotor waves were eliminated fairly frequently. Diminution in amplitude of waves was frequently present.3. Toxic manifestations.Toxic reactions occurred in inverse proportion to clinical improvement. Untoward effects were observed most often in the myoclonic type, grand mal, and psychomotor group. Toxic reactions were observed least in the spastic group (9%) and in the petit mal type (13%). In younger individuals only 15% showed toxic effects, while in the older group 25% experienced unfavorable reactions. However, the toxic effects did not influence EEG. improvement as adversely as they did the clinical picture.Abstract Teaser
Figures in this Article

    Topics

    epilepsy
    Your Session has timed out. Please sign back in to continue.
    Sign In Your Session has timed out. Please sign back in to continue.
    Sign In to Access Full Content
     
    Username
    Password
    Sign in via Athens (What is this?)
    Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
    Not a subscriber?

    Subscribe Now/Learn More

    PsychiatryOnline subscription options offer access to the DSM-IV-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

    Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

    +
    +
    +

    CME Activity

    There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
    Submit a Comments
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discertion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe



    Related Content
    Articles
    Topic Collections
    Psychiatric News
    PubMed Articles