Journals / Medicine Science / 2016 / Cilt: 5 - Sayı: 3

Evaluation of renal tubular function in epileptic children treated with levetiracetam

Pages
771–775
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our study demonstrated that LEV treatment was safe and did not interfere in renal tubular function in epileptic children

📌 3 Key Takeaways

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Objective & Hypothesis:Our study aim was to measure the urinary N-acetyl-β-D-glucosaminidase/creatinine (NAG/UCr) index in epileptic children who received levetiracetam (LEV) treatment at least for 6 months, and compare it to healthy children.
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Key Findings & Data:There were no statistically significant differences for the urine NAG and NAG/UCr index before and after LEV treatment in the epileptic group (p>0.05, for each).
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Conclusion & Impact:Our study demonstrated that LEV treatment was safe and did not interfere in renal tubular function in epileptic children
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Our study aim was to measure the urinary N-acetyl-β-D-glucosaminidase/creatinine (NAG/UCr) index in epileptic children who received levetiracetam (LEV) treatment at least for 6 months, and compare it to healthy children. Thirty five children with epilepsy were enrolled in this prospective study. NAG was studied using the calorimetric method and NAG levels were expressed in units per liter (U/L) and NAG/UCre levels were determined in U/mmol creatinine. There were no statistically significant differences for the urine NAG and NAG/UCr index before and after LEV treatment in the epileptic group (p>0.05, for each). There were no significant correlations between the serum concentration of LEV and urinary NAG levels (r=0.258, p=0.135) and NAG/UCr levels (r=0.164, p=0.346) before treatment. Our study demonstrated that LEV treatment was safe and did not interfere in renal tubular function in epileptic children

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Cite This Article

ELMAS, A. T., GÜNGÖR, S., ARSLAN, M., TABEL, Y., RAİF, S. G., ÖZYALIN, F. (2016). Evaluation of renal tubular function in epileptic children treated with levetiracetam. Medicine Science, Cilt: 5 - Sayı: 3, 771–775. https://ajindex.com/articles/277648

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References (16)

  1. Csáthy L, Pócsi I. Urinary N-acetyl-â-D-glucosaminidase determination in newborns and children: methods and diagnostic applications. Eur J Clin Chem Clin Biochem. 1995;33(9):575–87
  2. Price RG. Urinary enzymes, nephrotoxicity and renal disease. Toxicology. 1982;23(2-3):98-134
  3. Kunin CM, Chesney RW, Craig WA, England AC, De Angelis C. Enzymuria as a marker of renal injury and disease: studies of Nacetyl-â-D-glucosaminidase in the general population and in patients with renal disease. Pediatrics. 1978;64(5):751-60
  4. Watanabe K, Kojima K, Fukuda J, Ohbayasi K, Kobayashi T, Iwase S. Reliability of urinary N-acetyl-â-D- glucosaminidase as an indicator of renal tubular damage in neonates. Biol Neonate. 1987;52(1):16-21
  5. Perucca E, Meador KJ. Adverse effects of antiepileptic drugs. Acta Neurol Scand Suppl. 2005;181:30-5
  6. Snead OCI. Surgical treatment of medically refractory epilepsy in childhood. Brain Dev. 2001;23(4):199-207
  7. Lynch BA, Lambeng N, Nocka K, Kensel-Hammes P, Bajjalieh SM, Matagne A et al. The synaptic vesicle protein SV2A is the binding site fort he antiepileptic drug levetirecetam. Proc Natl Acad Sci USA. 2004;101(26):9861-6
  8. Lenoir GR, Perignon JL, Gubler MC, Broyer M. Valproic acid: a possible cause of proximal tubular renal syndrome. J Pediatr. 1981;98(3):503-4
  9. Lin CY, Chiang H. Sodium valproate induced interstitial nephritis. Nephron. 1988;48(1):43-6
  10. Hogg RJ, Sawyer M, Hecox K, Eigenbrodt E. Carbamazepine induces acute tubulointerstitial nephritis. J Pediatr. 1981;98(5):830–2
  11. Hurwitz KA, Ingulli EG, Krous HF. Levetiracetam induced interstitial nephritis and renal failure. Pediatr Neurol. 2009;41(1):57- 8
  12. Mahta A, Kim RY, Kesari S. Levetiracetam-induced interstitial nephritis in a patient with glioma. J Clin Neurosci. 2012;19(1):177-8
  13. Novo MLP, Izumi T, Yokota K, Fukuyama Y. Urinary excretion of N-acetyl-â-D-glucosaminidase by patients with epilepsy. Brain Dev. 1993;15(2):157-60
  14. Otsuka T, Sunaga Y, Hikima A. Urinary N-acetyl-â-Dglucosaminidase and guanidinoacetic acid levels in epileptic patients treated with anti-epileptic drugs. Brain Dev. 1994;16(6):437-40
  15. Tseng CL, Wang PJ, Tsau YK, Lin MY, Shen YZ. Urinary of Nacetyl-â-glucosaminidase (NAG) in children receiving antiepileptic drugs. Acta Paediatr Sin. 1992;33(4):251-6
  16. Yüksel A, Cengiz M, Seven M, Cengiz S, Cenani A. N-acetyl-â- glucosaminidase and â-galactosidase in children receiving antiepileptic drugs. Paediatr Neurol. 1999;20(