Abstract
Epilepsy with myoclonic-atonic seizures (EMAS) is an early childhood epilepsy syndrome with an explosive onset of multiple seizure types in a previously healthy child. EMAS often evolves to a drug-resistant epileptic encephalopathy before a variable degree of remission around 3 years from onset. Highly purified cannabidiol (CBD, available in United States as Epidiolex®) has demonstrated efficacy and tolerability as an adjunct in medically refractory EMAS. We present two cases of medically refractory EMAS achieving rapid seizure freedom (7-30 days) with CBD, illustrating CBD as a potential effective monotherapy in EMAS.
Keywords: astatic seizure; atonic seizure; cannabidiol; doose syndrome; epilepsy with myoclonic astatic (atonic) seizures; epileptic encephalopathy; medically refractory epilepsy.
© 2024 International League Against Epilepsy.
References
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