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Santamarina E, Bertol V, Garayoa V, García-Gomara MJ, Garamendi-Ruiz I, Giner P, Aranzábal I, Piera A, Arcos C, Esteve P, Marinas A, García-Escrivá A, Viloria-Alebesque A, Loro FA, de Tienda AP, Olivan JA, Bonet M, Dávila-González P, Sivera R, Molins A, Sansa G, Roche JC, Martínez AB, Monteagudo S, Casadevall T. Efficacy and tolerability of perampanel as a first add-on therapy with different anti-seizure drugs. Seizure 2020; 83:48-56. [PMID: 33096456 DOI: 10.1016/j.seizure.2020.09.026] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 09/22/2020] [Accepted: 09/25/2020] [Indexed: 12/21/2022] Open
Abstract
PURPOSE To investigate the efficacy and tolerability of perampanel (PER) when administered as a first add-on therapy to patients with focal epilepsy or idiopathic generalized epilepsy (IGE) taking one other antiseizure drug (ASD). METHODS This multicentre, retrospective, one-year observational study collected data from patients (≥12 years) who initiated treatment with PER as first add-on therapy. Patients had to be experiencing inadequate seizure control on ASD monotherapy and tried ≤3 ASD monotherapies before initiating PER. Multivariate logistic regression analyses were performed, adjusted for the number and type of previous seizures, duration and aetiology of epilepsy. RESULTS Of the 149 patients included in the study (mean age 41 years; 54.4 % male), 118 (79.2 %) were still receiving PER as first add-on treatment after 12 months. Mean PER dose was 6.2 mg/day. At 12 months, 45.6 % were seizure-free and 84.6 % responders. A significant difference in seizure freedom rate was found between patients with IGE and patients with focal epilepsy, but not in responders. Reduced seizure control was observed when PER was administered with strong enzyme-inducing ASDs; conversely, increased seizure control was seen when the same dose of PER was combined with enzyme-inhibiting ASDs. The most frequent adverse events were dizziness (15.4 %), irritability (14.1 %) and drowsiness (14.1 %); no differences in tolerance were observed among different combinations. CONCLUSION PER demonstrated a good efficacy and safety profile when used as a first add-on therapy in patients who did not respond to monotherapy. PER dose adjustments may optimize seizure control when combined with strong enzyme-inducing or enzyme-inhibiting ASDs.
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Affiliation(s)
| | | | | | | | | | - Pau Giner
- Hospital Universitario Doctor Peset, Valencia, Spain
| | | | - Anna Piera
- Hospital Clínico Universitario, Valencia, Spain
| | | | | | | | | | | | | | | | | | | | | | | | - Albert Molins
- Hospital Universitario Doctor Josep Trueta, Girona, Spain
| | - Gemma Sansa
- Corporació Sanitària Parc Taulí, Sabadell, Spain
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Marin-Gracia M, Lopez-Bravo A, Garces-Anton E, Navarro-Perez MP, Garrido-Fernandez A, Martin-Aleman Y, Bellosta-Diago E, Santos-Lasaosa S, Diaz-De Cerio L, Roche JC, Garces-Redondo M, Atienza-Ayala SV, Perez-Lazaro C, Tejero-Juste C. [Isolated hand palsy due to an ischaemic stroke]. Rev Neurol 2019; 68:354-355. [PMID: 30963533 DOI: 10.33588/rn.6808.2018348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- M Marin-Gracia
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - A Lopez-Bravo
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - E Garces-Anton
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | | | | | - Y Martin-Aleman
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - E Bellosta-Diago
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - S Santos-Lasaosa
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - L Diaz-De Cerio
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - J C Roche
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - M Garces-Redondo
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | | | - C Perez-Lazaro
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - C Tejero-Juste
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
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Crespo-Burillo JA, Almarcegui-Lafita C, Dolz-Zaera I, Alarcia-Alejos R, Roche JC, Ara JR, Capablo-Liesa JL. [Relationship between homocysteinaemia and sympathetic skin response in Parkinson's disease]. Rev Neurol 2017; 65:348-352. [PMID: 28990644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
INTRODUCTION High levels of homocysteine linked to treatment with levodopa have been observed in patients with Parkinsons disease (PD). Our aim was to assess the influence of serum homocysteine levels and other PD-related on the sympathetic skin response. PATIENTS AND METHODS An observational, cross-sectional study was conducted that consecutively included patients with PD. We unilaterally assessed the sympathetic skin response in the upper limbs. We measured the influence of PD severity (measured by the Hoehn and Yahr and the Schwab and England scales, and the Unified Parkinson Disease Rating Scale) and blood homocysteine, vitamin B12 and folic acid levels on the latency and amplitude of the sympathetic skin response. RESULTS A total of 78 patients were enrolled, and all achieved a sympathetic skin response. In the bivariate analysis, latency was significantly correlated with age, age at PD onset and homocysteinaemia levels. The presence of hyper-homocysteinemia was associated with a longer latency. The amplitude was only correlated with the score on the Schwab and England scale. In the multivariate analysis, age was the only variable that showed a significant association with the latency duration and homocysteine levels. CONCLUSION A direct association could not be established between the increase in homocysteinaemia levels and sympathetic skin response dysfunction in PD. The results of the multivariate analysis suggest that latency prolongation in elderly patients could be due to the fact that these patients have higher blood levels of homocysteinaemia.
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Affiliation(s)
| | | | - I Dolz-Zaera
- HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, Espana
| | - R Alarcia-Alejos
- HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, Espana
| | - J C Roche
- HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, Espana
| | - J R Ara
- HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, Espana
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Roche JC, Gimenez-Munoz A, Campello-Morer I, Garcia-Gomara MJ, Perez-Trullen JM, Sanchez-Valiente S. [Simultaneous myasthenia gravis and Guillain-Barre syndrome: the first case reported in Spain]. Rev Neurol 2013; 56:190-191. [PMID: 23359082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Roche JC, Roche JR, Martín J. [Oligodendroglioma simulating acute herpetic encephalitis]. Neurologia 2009; 24:433-434. [PMID: 20050115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
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Abstract
CONTEXT Incidence of invasive meningococcal disease has increased recently in persons aged 15 through 24 years. OBJECTIVE To characterize meningococcal infection in adolescents and young adults in Maryland during the 1990s. DESIGN AND SETTING Population-based surveillance study for meningococcal disease from January 1, 1990, through December 31, 1999, in Maryland. PATIENTS Maryland residents diagnosed as having invasive meningococcal disease. MAIN OUTCOME MEASURE Invasive meningococcal infection. RESULTS Of 295 total cases, 71 (24.1%) occurred among persons aged 15 through 24 years. Sixteen (22.5%) of these cases were fatal. The annual incidence rate increased from 0.9 to 2.1 cases per 100 000 among 15 through 24 year olds (P =.01). The proportion of all disease increased from 16.0% to 28.9% (P =.03). The incidence and proportion of cases subsequently decreased to 1.0 and 16.4% in 1998 through 1999, respectively. Infection in 15 through 24 year olds was more likely to be fatal than infection in those younger than age 15 years (22.5% vs 4.6%; P =.001). Infection in 15 through 24 year olds, compared with those aged 25 years or older, was more likely to be associated with male sex (66.2% vs 34.8%; P<.001) and serogroup C infection (46.9% vs 20.2%; P<.001), respectively. Infections were potentially preventable with the licensed meningococcal vaccine in 82.8% of 15 through 24 year olds, 68.1% of those younger than 15 years, and 76.8% of adults aged 25 years or older. CONCLUSIONS Incidence of meningococcal infection in 15 through 24 year olds in Maryland increased and then declined during the 1990s. Infection in this age group was associated with an unusually high case-fatality ratio, and the vast majority of cases were potentially vaccine preventable.
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Affiliation(s)
- L H Harrison
- Infectious Diseases Epidemiology Research Unit, University of Pittsburgh, 521 Parran Hall, 130 DeSoto St, Pittsburgh, PA 15261, USA.
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Chagnon A, Auzanneau G, Moreau X, Othmani S, Roche JC. [Responsibility of Mycoplasma pneumonia in prolonged fever without pneumopathy]. Presse Med 1986; 15:2021. [PMID: 2948178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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Abstract
The immunogenicity and the safety of a new heat-stable 17D yellow fever vaccine have been assessed in a randomized comparative study by reference to a non-stabilized vaccine preparation. Seronegative adults were used and 115 and 143 were given the heat-stable and the non-stabilized vaccine, respectively. Fifty two days after the immunization, haemagglutination inhibiting antibodies were found in 77.6 and 73.9% of the vaccinees, neutralizing antibodies in 99.3 and 100% of them. The percentage of seroconversion and the geometric mean of antibody titres were not significantly different. No complaints or adverse reactions in association with the vaccines were recorded. This study demonstrates the high immunogenicity of this new stabilized vaccine whose stability has already been proven.
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Verdier MJ, Roche JC, Koulmann M, Morillon M, Morvan J, Pignon D. [Autochthonous cutaneous leishmaniasis in the Var department]. Presse Med 1984; 13:1961. [PMID: 6237350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
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Cordellier R, Bouchite B, Roche JC, Akoliba P. [Entomologic and epidemiologic survey on a fatal case of yellow fever occurred in Anyama district (Republic of Ivory Coast)]. Med Trop (Mars) 1982; 42:269-73. [PMID: 6287160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Selly-Essis M, Roche JC, Sarthou JL, Lhuillier M. [The rabies endemic in the Ivory Coast as seen through the work of the Pasteur Institute of the Ivory Coast]. Arch Inst Pasteur Tunis 1982; 59:33-40. [PMID: 6295293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Roche JC. [Injectable premarin in pediatric ORL]. Rev Laryngol Otol Rhinol (Bord) 1979; 100:615-7. [PMID: 230563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Weisburger WR, Hutcheon DF, Yardley JH, Roche JC, Hillis WD, Charache P. Cryptosporidiosis in an immunosuppressed renal-transplant recipient with IgA deficiency. Am J Clin Pathol 1979; 72:473-8. [PMID: 112857 DOI: 10.1093/ajcp/72.3.473] [Citation(s) in RCA: 90] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Cryptosporidia are sporozoan parasites that infect epithelial cells of the gastrointestinal tract. Infection with cryptosporidia has been found most commonly in a variety of animal species and only rarely in man. The authors report a case of an immunosuppressed renal-transplant recipient with IgA deficiency who experienced diarrhea and fever and was found to have cryptosporidia in a jejunal biopsy specimen and in air-dried smears of the specimen. By electron microscopy, trophozoite, schizont, and macrogamete forms were identified, and these forms ahd morphologic features similar to those of cryptosporidia previously found in guinea pigs. Treatment of the cryptosporidial infection in this case was with trisulfapyrimidines. The efficacy of this treatment could not be evaluated because of complications.
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Discamps G, Roche JC. [Histo-pathological features of African mycetomas (author's transl)]. Med Trop (Mars) 1979; 39:17-25. [PMID: 459784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
From a review of 94 original cases of mycetoma, a description of the most important histo-pathological features of these tumors is given. The microscopic diagnosis of mycetoma is easy and so is generally the identification of the responsible agent, either a bacteria or a fungus. In every case and specially in atypic ones a mycological study is necessary to ascertain the aetiological diagnosis.
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Traissac L, Roche JC. [Comparative trial by double-blind method of a niflumic acid derivative and oxyphenbutazone in pediatric O. R. L]. Rev Laryngol Otol Rhinol (Bord) 1979; 100:151-61. [PMID: 379941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Traissac L, Roche JC. [Trial with JO 1016 and neomycine in the treatment of subacute and chronic sinustitis]. Rev Laryngol Otol Rhinol (Bord) 1978; 99:383-5. [PMID: 360341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Doury JC, Roche JC, Brisou B. [Detection of HBs Ag in bone's metastatic malignant hepatoma (author's transl)]. Nouv Presse Med 1977; 6:2751-2. [PMID: 201921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
A case of metastatic malignant hepatoma in bone, developed in a Vietnamen woman, is reported. Indirect immunofluorescence and orcein staining detect HBs Ag in cytoplasm of many tumor cells. This finding raises pathogenic problems, in particular that of the responsability of heaptitis B virus in the aetiology of certain hepatic tumours.
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Traissac L, Roche JC. [Action of Carudol in E.N.T. pediatrics]. Rev Laryngol Otol Rhinol (Bord) 1977; 98:515-7. [PMID: 580122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Roche JC, Monod L. [10th case of lobomycosis observed in French Guiana]. Bull Soc Pathol Exot Filiales 1976; 69:540-6. [PMID: 1037625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Lobomycosis a disease specific to the South-American continent; it is rare but not exceptional, since 11 cases have already been observed in French Guyana. A propos of the 10th case, the authors recall the circumstances of the discovery and the basic elements of the microscopical diagnosis. The actual progress in the in vivo culture techniques should allow a better knowledge of the pathogen agent in the future.
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Pradinaud R, Grosshans E, Roche JC. [2d leishmaniasis attack in a patient in French Guiana having presented the 1st leishmaniasis 4 years previously]. Bull Soc Pathol Exot Filiales 1976; 69:495-501. [PMID: 1037621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Pinson L, Traissac L, Mattern P, Roche JC, Patris D. [Results of immunotherapy treatment of severe infantile papillomas]. Rev Laryngol Otol Rhinol (Bord) 1976; 97:371-7. [PMID: 1005974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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