Bromide in patients with SCN1A-mutations manifesting as Dravet syndrome

Neuropediatrics. 2012 Feb;43(1):17-21. doi: 10.1055/s-0032-1307454. Epub 2012 Mar 19.

Abstract

We report a retrospective analysis of bromide therapy in 32 patients suffering from Dravet syndrome with SCN1A-mutations who received bromide. After 3 months of bromide treatment, 26 patients (81%) showed a relevant improvement with a reduction of seizure frequency by >50% (>75%) in 18 (12) patients (56 and 37%, respectively). After 12 months, we observed a reduction of >50% (>75%) in 15 (9) patients (47 and 28%, respectively). Long-term response was noted in 18 patients (56%). Adverse reactions were mainly mild or moderate leading to treatment termination in 5/32 patients; no aggravation was reported. We conclude that bromide holds promise in patients with SCN1A-mutations suffering from Dravet syndrome.

MeSH terms

  • Adolescent
  • Anticonvulsants / therapeutic use*
  • Bromides / therapeutic use*
  • Child
  • Child, Preschool
  • Epilepsies, Myoclonic / drug therapy*
  • Epilepsies, Myoclonic / genetics*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mutation / genetics*
  • NAV1.1 Voltage-Gated Sodium Channel
  • Nerve Tissue Proteins / genetics*
  • Retrospective Studies
  • Sodium Channels / genetics*
  • Treatment Outcome
  • Young Adult

Substances

  • Anticonvulsants
  • Bromides
  • NAV1.1 Voltage-Gated Sodium Channel
  • Nerve Tissue Proteins
  • SCN1A protein, human
  • Sodium Channels