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Early effect of sodium valproate and carbamazepine monotherapy on homocysteine metabolism in children with epilepsy
Authors:Attilakos Achilleas  Papakonstantinou Evangellos  Schulpis Kleopatra  Voudris Konstantinos  Katsarou Eustathia  Mastroyianni Sotiria  Garoufi Anastasia
Affiliation:Second Department of Pediatrics, University of Athens, Panagiotis and Aglaia Kyriakou Children's Hospital, 1 Dimitsanis Street, Marousi, 15125 Athens, Greece. attilakos@hotmail.com
Abstract:Plasma total homocysteine (p-tHcy), serum folate (s-F), serum vitamin B-12 (s-B12) and plasma pyridoxal-5'-phosphate (p-PLP) were measured in epileptic children before and after a 20-week period of sodium valproate (group A, n=32) and carbamazepine (group B, n=20) monotherapy. P-tHcy significantly increased in both groups, s-F and s-B12 significantly increased in group A, while s-F and p-PLP significantly decreased in group B. Our study showed an early effect of antiepileptic drug treatment on homocysteine metabolism.
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