Efficacy of 48 hours dose of phenytoin in prevention of early post-traumatic seizure

Autor: Toyin Ayofe Oyemolade, Augustine A Adeolu, Oluwakemi A Badejo, James A Balogun, Matthew T Shokunbi, Adefolarin O Malomo, Amos O Adeleye
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Neurology Open, Vol 5, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2632-6140
DOI: 10.1136/bmjno-2022-000377
Popis: Background Antiseizure medications, such as phenytoin sodium, have been shown in some reports to reduce the incidence of early post-traumatic seizure. These medications, however, are not without side effects which may be dose related or duration related. The risks associated with short-term therapy are minimal and often dose related (and hence avoidable). This study intends to determine the efficacy of a short-course (48-hour dose) of phenytoin in prevention of early post-traumatic seizureMethods This was a prospective randomised double-blind clinical intervention study. Head injured patients presenting within the first 24 hours were randomly assigned to either 48-hour dose of phenytoin or control groups, and were observed for clinical seizure over a week. The difference in the incidences of early post-traumatic seizure between the two groups was determined by χ2 test. A p
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